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1568833754
KATELYN LUSSOW
TOLEDO, OH
NPI
1568833754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-10-13
Last Update Date
2018-05-10
Business Address
KATELYN LUSSOW
2801 W BANCROFT ST
TOLEDO, OH 43606-3328
Phone number: 812-584-9858
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Mailing Address
KATELYN LUSSOW
24817 TREE TOP DR
SUNMAN, IN 47041-7433
Phone number: 812-584-9858
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