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1366932659
LUCIUS WILLSON
LEXINGTON, KY
NPI
1366932659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KY AT643)
Enumeration Date
2018-05-13
Last Update Date
2018-05-13
Business Address
LUCIUS WILLSON ATC
3401 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509-2513
Phone number: 859-263-5140
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Mailing Address
LUCIUS WILLSON ATC
634 BRAMBLEWOOD DR
CORBIN, KY 40701-7427
Phone number: 606-627-6426
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