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1225303076
KELLY ANN CREASEY
ROANOKE, VA
NPI
1225303076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000316)
Enumeration Date
2012-03-13
Last Update Date
2012-03-13
Business Address
Mrs. KELLY ANN CREASEY ATC
7916 WILLIAMSON RD
ROANOKE, VA 24020-2002
Phone number: 540-362-6205
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Mailing Address
Mrs. KELLY ANN CREASEY ATC
PO BOX 9553
ROANOKE, VA 24020-1553
Phone number: 540-362-6205
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