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1447381546
JUSTIN BLAKE BRASHEAR
PIKEVILLE, KY
NPI
1447381546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
Mr. JUSTIN BLAKE BRASHEAR ATC
147 SYCAMORE ST
PIKEVILLE, KY 41501-9118
Phone number: 606-218-5359
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Mailing Address
Mr. JUSTIN BLAKE BRASHEAR ATC
14 BIG ROCK LN
HAZARD, KY 41701-7728
Phone number: 606-233-3652
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