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1184159634
KYNDRA GINELL LONG
CHARLOTTE, NC
NPI
1184159634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-2869)
Enumeration Date
2017-04-21
Last Update Date
2017-04-21
Business Address
-- KYNDRA GINELL LONG LAT, ATC
345 N COLLEGE ST
CHARLOTTE, NC 28202-2113
Phone number: 980-224-0994
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Mailing Address
-- KYNDRA GINELL LONG LAT, ATC
PO BOX 32394
CHARLOTTE, NC 28232-2394
Phone number: 980-224-0994
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