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1578063525
JEREMY WILLIAM DOCKTER
LOUISVILLE, KY
NPI
1578063525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT1477)
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
JEREMY WILLIAM DOCKTER ATC
2800 S FLOYD ST
LOUISVILLE, KY 40209-1818
Phone number: 502-852-7122
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Mailing Address
JEREMY WILLIAM DOCKTER ATC
2800 S FLOYD ST
LOUISVILLE, KY 40209-1818
Phone number:
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