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1174938021
JOHN DEBILZAN
LEXINGTON, KY
NPI
1174938021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KY 089)
Enumeration Date
2014-06-29
Last Update Date
2014-06-29
Business Address
JOHN DEBILZAN ATC
474 OSPREY CIR
LEXINGTON, KY 40503-4356
Phone number: 859-420-4135
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Mailing Address
JOHN DEBILZAN ATC
474 OSPREY CIR
LEXINGTON, KY 40503-4356
Phone number: 859-420-4135
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