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1447037270
SAVANAH LEE MICKEY
FORT CAMPBELL, KY
NPI
1447037270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 2482)
Enumeration Date
2023-09-14
Last Update Date
2023-09-15
Business Address
Ms. SAVANAH LEE MICKEY LAT, ATC
101ST DSB, SPRC BLDG 6871
FORT CAMPBELL, KY 44223
Phone number: 270-412-4853
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Mailing Address
Ms. SAVANAH LEE MICKEY LAT, ATC
11 ADDISON PARK DR NW APT 206
HUNTSVILLE, AL 35806-1878
Phone number: 760-519-0352
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