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1174085195
EMILEE BERRY
FORT CAMPBELL, KY
NPI
1174085195
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Former Name
EMILEE MACKEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WA A160286048)
Enumeration Date
2019-04-01
Last Update Date
2022-08-30
Business Address
EMILEE BERRY LAT, ATC
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
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Mailing Address
EMILEE BERRY LAT, ATC
20316 RUSTIC VIEW RD SE
MONROE, WA 98272-7607
Phone number:
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