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1083679583
WILLIAM ROGER CUBBAGE
LOUISVILLE, KY
NPI
1083679583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT058)
Enumeration Date
2006-04-18
Last Update Date
2015-06-17
Business Address
Mr. WILLIAM ROGER CUBBAGE ATC
4011 SHELBYVILLE RD
LOUISVILLE, KY 40207-3122
Phone number: 502-736-2169
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Mailing Address
Mr. WILLIAM ROGER CUBBAGE ATC
2911 EXPLORER DR
LOUISVILLE, KY 40218-4705
Phone number: 502-456-2529
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