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1679107502
KAILAN BOST
CONCORD, NC
NPI
1679107502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-4262)
Enumeration Date
2020-03-01
Last Update Date
2020-03-01
Business Address
KAILAN BOST LAT, ATC
1500 GOLD RUSH DR
CONCORD, NC 28025-1508
Phone number: 980-226-2238
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Mailing Address
KAILAN BOST LAT, ATC
1500 GOLD RUSH DR
CONCORD, NC 28025-1508
Phone number:
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