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1437766185
KATY ANGELINA MEDFORD
FORT BRAGG, NC
NPI
1437766185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 2430)
Enumeration Date
2020-09-27
Last Update Date
2022-07-29
Business Address
KATY ANGELINA MEDFORD MS, LAT, ATC
C-8247 ARDENNES STREET
FORT BRAGG, NC 28310-0001
Phone number: 870-833-2352
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Mailing Address
KATY ANGELINA MEDFORD MS, LAT, ATC
711 PIPER FARM RD APT 2
FAYETTEVILLE, NC 28303-6603
Phone number: 870-833-2352
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