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1457875205
MERRISA KENNEDY HERALDSON
GEORGETOWN, KY
NPI
1457875205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY TCA572)
Enumeration Date
2017-08-02
Last Update Date
2017-08-02
Business Address
MERRISA KENNEDY HERALDSON ATC
400 E COLLEGE ST
GEORGETOWN, KY 40324-1628
Phone number: 859-806-6187
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Mailing Address
MERRISA KENNEDY HERALDSON ATC
101 CAROLINE PATH APT 5
GEORGETOWN, KY 40324-0528
Phone number: 502-609-7625
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