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1558325076
LARRY ROBERT ULLERY
LEXINGTON, KY
NPI
1558325076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KY AT195)
Enumeration Date
2006-04-13
Last Update Date
2010-01-19
Business Address
LARRY ROBERT ULLERY ATC
601 PERIMETER DR SUITE 200
LEXINGTON, KY 40517-4121
Phone number: 859-323-5533
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Mailing Address
LARRY ROBERT ULLERY ATC
3817 KITTIWAKE DR
LEXINGTON, KY 40517-3835
Phone number: 859-245-0768
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