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1669022935
KIRSTIE JONES BOUTWELL
MURFREESBORO, TN
NPI
1669022935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TN 0000001809)
Enumeration Date
2019-09-18
Last Update Date
2019-09-18
Business Address
KIRSTIE JONES BOUTWELL ATC, LAT
3300 SIEGEL RD
MURFREESBORO, TN 37129-5844
Phone number: 615-904-3800
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Mailing Address
KIRSTIE JONES BOUTWELL ATC, LAT
115 SPRING CIR
SMYRNA, TN 37167-4820
Phone number: 904-412-1524
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