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1033732029
ANTONIO WAYNE TERRELL
LOUISVILLE, KY
NPI
1033732029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-05-25
Last Update Date
2020-05-25
Business Address
ANTONIO WAYNE TERRELL Personal Trainer
3813 PARKER AVE
LOUISVILLE, KY 40212-2845
Phone number: 502-552-9163
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Mailing Address
ANTONIO WAYNE TERRELL Personal Trainer
3813 PARKER AVE
LOUISVILLE, KY 40212-2845
Phone number: 502-552-9163
Copy
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