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1427272780
KATHLEEN ANNE KUSSART
VIRGINIA BEACH, VA
NPI
1427272780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000872)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
-- KATHLEEN ANNE KUSSART ATC
4960 HAYGOOD RD
VIRGINIA BEACH, VA 23455-5236
Phone number: 757-473-5050
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Mailing Address
-- KATHLEEN ANNE KUSSART ATC
566 VIRGINIAN DR
NORFOLK, VA 23505-4243
Phone number:
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