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1235847427
KAITLYN ALYSSA CROEKER
TUSCULUM, TN
NPI
1235847427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 3102)
Enumeration Date
2022-11-07
Last Update Date
2023-07-11
Business Address
KAITLYN ALYSSA CROEKER MS, LAT, ATC, CES
60 SHILOH RD
TUSCULUM, TN 37745-0595
Phone number: 262-948-9867
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Mailing Address
KAITLYN ALYSSA CROEKER MS, LAT, ATC, CES
413 VOLUNTEER ST APT 303
GREENEVILLE, TN 37745-5183
Phone number: 262-948-9867
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