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1033194154
KRISTINE KAY SMITH
DETROIT, MI
NPI
1033194154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-001989)
Enumeration Date
2005-12-12
Last Update Date
2007-07-16
Business Address
Ms. KRISTINE KAY SMITH MS, ATC
261 MACK AVE
DETROIT, MI 48201-2417
Phone number: 313-745-1160
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Mailing Address
Ms. KRISTINE KAY SMITH MS, ATC
4926 HEATHER DR APT 112
DEARBORN, MI 48126-4134
Phone number: 847-636-9215
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