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1396733044
KENNETH T BUTLER
MC KENZIE, TN
NPI
1396733044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 0000000564)
Enumeration Date
2005-10-06
Last Update Date
2010-10-18
Business Address
Mr. KENNETH T BUTLER LAT, ATC
325 CHERRY AVE
MC KENZIE, TN 38201-1769
Phone number: 731-415-2701
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Mailing Address
Mr. KENNETH T BUTLER LAT, ATC
325 CHERRY AVE
MC KENZIE, TN 38201-1769
Phone number: 731-415-2701
Copy
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