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1386109759
JACOB TRAVIS HARTZELL
LEXINGTON, KY
NPI
1386109759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT1488)
Enumeration Date
2019-02-09
Last Update Date
2019-02-09
Business Address
JACOB TRAVIS HARTZELL
2195 HARRODSBURG RD
LEXINGTON, KY 40504-3504
Phone number: 859-257-1000
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Mailing Address
JACOB TRAVIS HARTZELL
2195 HARRODSBURG RD
LEXINGTON, KY 40504-3504
Phone number: 859-257-1000
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