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1457863078
KELSEA RENE KOCAN
LEXINGTON, KY
NPI
1457863078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT1381)
Enumeration Date
2017-11-05
Last Update Date
2017-11-05
Business Address
Miss KELSEA RENE KOCAN ATC
338 LEXINGTON AVE
LEXINGTON, KY 40506-0001
Phone number: 800-928-2287
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Mailing Address
Miss KELSEA RENE KOCAN ATC
6209 SIEBERT ST
MIDLAND, MI 48640-2723
Phone number: 989-430-0272
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