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1689619991
ALEX LAROSA
RICHMOND, KY
NPI
1689619991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT561)
Enumeration Date
2006-06-19
Last Update Date
2007-07-08
Business Address
-- ALEX LAROSA MS, ATC
526 EASTERN BYP
RICHMOND, KY 40475-2328
Phone number: 859-623-4567
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Mailing Address
-- ALEX LAROSA MS, ATC
108 MADISON HILLS BLVD
RICHMOND, KY 40475-8103
Phone number:
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