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1619996345
PAUL KENNETH LEE
STARKVILLE, MS
NPI
1619996345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS ATO120)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Mr. PAUL KENNETH LEE ATC
400 HOSPITAL RD
STARKVILLE, MS 39759-2163
Phone number: 662-615-3020
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Mailing Address
Mr. PAUL KENNETH LEE ATC
1704 LINDEN CIR
STARKVILLE, MS 39759-3617
Phone number: 662-312-3983
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