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1619391778
REBECCA PARK
LOUISVILLE, KY
NPI
1619391778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT1030)
Enumeration Date
2014-02-10
Last Update Date
2014-02-10
Business Address
-- REBECCA PARK ATC
2125 S FLOYD ST
LOUISVILLE, KY 40292
Phone number: 502-852-2498
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Mailing Address
-- REBECCA PARK ATC
2125 S FLOYD ST
LOUISVILLE, KY 40292
Phone number:
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