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1609246123
KJERSTEN LYDIA MCKINNISS
ITHACA, NY
NPI
1609246123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 003601)
Enumeration Date
2015-09-26
Last Update Date
2021-12-17
Business Address
Ms. KJERSTEN LYDIA MCKINNISS ATC
310 TAUGHANNOCK BLVD
ITHACA, NY 14850-3251
Phone number: 616-395-7000
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Mailing Address
Ms. KJERSTEN LYDIA MCKINNISS ATC
310 TAUGHANNOCK BLVD
ITHACA, NY 14850-3251
Phone number:
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