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1497196018
KRISTEN A THACKER
CAMP LEJEUNE, NC
NPI
1497196018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 1592)
Enumeration Date
2013-07-11
Last Update Date
2024-06-27
Business Address
Mrs. KRISTEN A THACKER MSEd, LAT, ATC
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 910-547-0379
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Mailing Address
Mrs. KRISTEN A THACKER MSEd, LAT, ATC
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 910-547-0379
Copy
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