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1649543240
JEANETTA FORD
CAMPBELLSVILLE, KY
NPI
1649543240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT903)
Enumeration Date
2012-02-14
Last Update Date
2012-02-14
Business Address
-- JEANETTA FORD MS, LAT, ATC
1 UNIVERSITY DR UPO 823
CAMPBELLSVILLE, KY 42718-2190
Phone number: 270-789-5333
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Mailing Address
-- JEANETTA FORD MS, LAT, ATC
1 UNIVERSITY DR UPO 823
CAMPBELLSVILLE, KY 42718-2190
Phone number: 270-789-5333
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