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1033496906
KEVIN JOSEPH HENRY
POUGHKEEPSIE, NY
NPI
1033496906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NY 001693)
Enumeration Date
2011-11-07
Last Update Date
2011-11-07
Business Address
KEVIN JOSEPH HENRY ATC, MSED, CSCS
1 WEBSTER AVE STE 400
POUGHKEEPSIE, NY 12601-1363
Phone number: 845-454-8377
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Mailing Address
KEVIN JOSEPH HENRY ATC, MSED, CSCS
15 PEMBROKE CIR APT D
WAPPINGERS FALLS, NY 12590-5649
Phone number: 845-594-2985
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