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1184248809
DAVID RAPHAEL TUDURI
LEXINGTON, KY
NPI
1184248809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-05-29
Last Update Date
2020-05-29
Business Address
DAVID RAPHAEL TUDURI
1822 COURTLAND DR
LEXINGTON, KY 40505-2311
Phone number: 859-433-3973
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Mailing Address
DAVID RAPHAEL TUDURI
1822 COURTLAND DR
LEXINGTON, KY 40505-2311
Phone number: 859-433-3973
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