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1366402232
KENNETH S. KEISTER
ORLANDO, FL
NPI
1366402232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL 2255A2300X)
Enumeration Date
2006-03-24
Last Update Date
2007-07-08
Business Address
Mr. KENNETH S. KEISTER ATC,
2500 W TAFT VINELAND RD
ORLANDO, FL 32837-7818
Phone number: 407-816-5600
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Mailing Address
Mr. KENNETH S. KEISTER ATC,
1451 SOUTHWIND DR
CASSELBERRY, FL 32707-5154
Phone number: 407-256-8485
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