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1467488866
KENNETH KUBERSKI
FAIRFAX, VA
NPI
1467488866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000605)
Enumeration Date
2006-06-25
Last Update Date
2007-07-08
Business Address
-- KENNETH KUBERSKI ATC
10675 LEE HWY
FAIRFAX, VA 22030-4314
Phone number: 703-352-0925
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Mailing Address
-- KENNETH KUBERSKI ATC
8323 MAGIC LEAF RD
SPRINGFIELD, VA 22153-2527
Phone number: 703-644-8569
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