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1417785759
KYOUNGYOUN PARK-BRASWELL
LYNCHBURG, VA
NPI
1417785759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: 2000021526)
Enumeration Date
2024-07-25
Last Update Date
2024-08-01
Business Address
KYOUNGYOUN PARK-BRASWELL
1971 UNIVERSITY BLVD
LYNCHBURG, VA 24515-0002
Phone number: 605-592-6598
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Mailing Address
KYOUNGYOUN PARK-BRASWELL
1971 UNIVERSITY BLVD
LYNCHBURG, VA 24515-0002
Phone number:
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