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1215318860
KATHLEEN R WILSON
NICHOLASVILLE, KY
NPI
1215318860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT816)
Enumeration Date
2015-06-09
Last Update Date
2015-06-09
Business Address
-- KATHLEEN R WILSON ATC
102 WILLIAMS RD
NICHOLASVILLE, KY 40356-1917
Phone number: 859-881-0333
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Mailing Address
-- KATHLEEN R WILSON ATC
235 RIDGEWOOD DR
NICHOLASVILLE, KY 40356-1924
Phone number: 219-796-6854
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