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1629033022
LEE GERALD LEDFORD
LOUISVILLE, KY
NPI
1629033022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT586)
Enumeration Date
2006-04-19
Last Update Date
2007-07-08
Business Address
Mr. LEE GERALD LEDFORD ATC
11802 BRINLEY AVE SUITE 102
LOUISVILLE, KY 40243-1089
Phone number: 800-738-8045
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Mailing Address
Mr. LEE GERALD LEDFORD ATC
533 WILD OAK CT
LOUISVILLE, KY 40222-4878
Phone number: 502-550-4398
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