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1720512510
REBEKAH SMITH
AVON, CT
NPI
1720512510
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Former Name
REBEKAH MCDANIEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: 2000020992)
Enumeration Date
2017-04-18
Last Update Date
2020-09-16
Business Address
REBEKAH SMITH ATC
34 DALE RD
AVON, CT 06001-3659
Phone number: 540-287-5153
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Mailing Address
REBEKAH SMITH ATC
142 CHAPEL RD
WINSTED, CT 06098-2525
Phone number: 540-287-5153
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