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1528476801
KATHLEEN VESTA
FORT BRAGG, NC
NPI
1528476801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2038)
Enumeration Date
2014-07-30
Last Update Date
2022-07-27
Business Address
KATHLEEN VESTA ATC
2298 LONGSTREET RD A
FORT BRAGG, NC 28310-0001
Phone number: 910-907-5063
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Mailing Address
KATHLEEN VESTA ATC
3037 41ST AVENUE CT S
MOORHEAD, MN 56560-7473
Phone number: 701-936-1078
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