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1396892659
KENNETH MARK RUSH
FLINT, MI
NPI
1396892659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
Mr. KENNETH MARK RUSH ATC
4500 S SAGINAW ST
FLINT, MI 48507-2676
Phone number: 810-766-6412
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Mailing Address
Mr. KENNETH MARK RUSH ATC
1332 POTTER BLVD
BURTON, MI 48509-2133
Phone number: 810-249-8222
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