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1679521611
TIMOTHY ALLEN TOMMERUP
LEXINGTON, KY
NPI
1679521611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT624)
Enumeration Date
2006-05-04
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY ALLEN TOMMERUP MS, ATC
300 N BROADWAY
LEXINGTON, KY 40508-1797
Phone number: 859-233-8850
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Mailing Address
Mr. TIMOTHY ALLEN TOMMERUP MS, ATC
491 STRATFORD DR
LEXINGTON, KY 40503-1814
Phone number: 859-373-0489
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