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1407204217
KENNA MEGAN HODEAUX
FAYETTEVILLE, AR
NPI
1407204217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR 673)
Enumeration Date
2016-06-02
Last Update Date
2016-06-02
Business Address
-- KENNA MEGAN HODEAUX ATC, LAT
1201 LEROY POND DRIVE SPORTS MEDICINE DEPARTMENT
FAYETTEVILLE, AR 72701
Phone number: 479-575-4018
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Mailing Address
-- KENNA MEGAN HODEAUX ATC, LAT
985 W BERRY ST APT #4
FAYETTEVILLE, AR 72701-1875
Phone number: 520-909-7768
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