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1568024149
DEBORAH KOSTRUB
CHATTANOOGA, TN
NPI
1568024149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-07-03
Last Update Date
2019-07-03
Business Address
DEBORAH KOSTRUB
615 MCCALLIE AVE
CHATTANOOGA, TN 37403-2504
Phone number: 615-427-2769
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Mailing Address
DEBORAH KOSTRUB
5143 REAGAN DR
MURFREESBORO, TN 37129-7665
Phone number: 615-427-2769
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