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1477513281
JASON RAY KIZZEE
NEWPORT, RI
NPI
1477513281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: RI AT00169)
Enumeration Date
2006-03-24
Last Update Date
2015-01-14
Business Address
Mr. JASON RAY KIZZEE ATC
440 MEYERKORD AVE
NEWPORT, RI 02841-1650
Phone number: 401-935-4023
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Mailing Address
Mr. JASON RAY KIZZEE ATC
119 WOODMIST WAY
NORTH KINGSTOWN, RI 02852-4215
Phone number: 401-935-4023
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