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1083625289
KRISTY DANIELLE HENDERSON
LOUISVILLE, KY
NPI
1083625289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH 120502156)
Enumeration Date
2006-08-11
Last Update Date
2007-07-08
Business Address
Mrs. KRISTY DANIELLE HENDERSON ATC/L
3-G25 GENERAL ELECTRIC WORK-FIT CTR
LOUISVILLE, KY 40225-0001
Phone number: 502-452-3605
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Mailing Address
Mrs. KRISTY DANIELLE HENDERSON ATC/L
1708 SOMERSET PL APT 15
LOUISVILLE, KY 40220-3743
Phone number: 502-384-3705
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