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1689458309
DAVID E KOCH
SHELBYVILLE, KY
NPI
1689458309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT1936)
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
Mr. DAVID E KOCH LAT, ATC
1701 FRANKFORT RD
SHELBYVILLE, KY 40065-9451
Phone number: 262-620-1650
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Mailing Address
Mr. DAVID E KOCH LAT, ATC
128 SHELLYS PL
SHELBYVILLE, KY 40065-9064
Phone number: 262-620-1650
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