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1437415098
KELSIE LOREHA OWEN
YAKIMA, WA
NPI
1437415098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA A160047338)
Enumeration Date
2012-04-09
Last Update Date
2012-04-09
Business Address
-- KELSIE LOREHA OWEN ATC/L
1107 S 16TH AVE
YAKIMA, WA 98902-5331
Phone number: 509-574-6822
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Mailing Address
-- KELSIE LOREHA OWEN ATC/L
PO BOX 22520
YAKIMA, WA 98907-2520
Phone number: 509-574-6822
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