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1396772018
MIKE JOHN PALMISANO
LOUISVILLE, KY
NPI
1396772018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT112)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
-- MIKE JOHN PALMISANO MS ATC
4402 CHURCHMAN AVE SUITE 103
LOUISVILLE, KY 40215-1190
Phone number: 502-361-5253
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Mailing Address
-- MIKE JOHN PALMISANO MS ATC
7400 WOLFPEN WOODS CT
PROSPECT, KY 40059-7106
Phone number:
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