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1497973549
JASON MATTHEW CARL
MADISONVILLE, KY
NPI
1497973549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT332)
Enumeration Date
2007-04-23
Last Update Date
2009-06-03
Business Address
Mr. JASON MATTHEW CARL MA, ATC, CSCS
900 HOSPITAL DR
MADISONVILLE, KY 42431-1653
Phone number: 270-824-2000
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Mailing Address
Mr. JASON MATTHEW CARL MA, ATC, CSCS
849 CHICKASAW DR
MADISONVILLE, KY 42431-8631
Phone number: 270-339-3670
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