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1114061587
KARYN M GALLIVAN
BRISTOL, RI
NPI
1114061587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: RI AT00337)
Enumeration Date
2007-02-17
Last Update Date
2013-02-28
Business Address
KARYN M GALLIVAN ATC
30 BEACH RD
BRISTOL, RI 02809-1505
Phone number: 615-347-4717
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Mailing Address
KARYN M GALLIVAN ATC
30 BEACH RD
BRISTOL, RI 02809-1505
Phone number: 615-347-4717
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