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1699129635
LORI BOURGEOIS
RICHMOND, KY
NPI
1699129635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KY AT1291)
Enumeration Date
2016-04-15
Last Update Date
2016-04-15
Business Address
LORI BOURGEOIS ATC
1054 CENTER DR STE 1
RICHMOND, KY 40475-3851
Phone number: 225-206-0224
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Mailing Address
LORI BOURGEOIS ATC
1054 CENTER DR STE 1
RICHMOND, KY 40475-3851
Phone number: 225-206-0224
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