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1255731527
MARK DOMINICK
RICHMOND, KY
NPI
1255731527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2014-08-24
Last Update Date
2014-08-24
Business Address
MR. MARK DOMINICK ATC
521 LANCASTER AVE MOBERLY BUILDING
RICHMOND, KY 40475-3100
Phone number: 207-272-6819
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Mailing Address
MR. MARK DOMINICK ATC
113 CHESTNUT DR APARTMENT #3
RICHMOND, KY 40475-7835
Phone number: 207-272-6819
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