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1093367534
KIANNE FERNANDEZ
BLUEFIELD, VA
NPI
1093367534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-07-15
Last Update Date
2019-07-15
Business Address
KIANNE FERNANDEZ ATC
3000 COLLEGE AVE
BLUEFIELD, VA 24605-2050
Phone number: 800-872-0175
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Mailing Address
KIANNE FERNANDEZ ATC
143 CEDAR RIDGE RD
PRINCETON, WV 24739-1501
Phone number:
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