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1407072002
TODD KILLINGSWORTH
DOTHAN, AL
NPI
1407072002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 354)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
-- TODD KILLINGSWORTH AT
4300 W MAIN ST SUITE 14
DOTHAN, AL 36305-1054
Phone number: 334-793-2663
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Mailing Address
-- TODD KILLINGSWORTH AT
PO BOX 729
DOTHAN, AL 36302-0729
Phone number: 334-793-2663
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