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1720589609
KELLY MICHELE KRIVULKA
MESA, AZ
NPI
1720589609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2018-02-26
Last Update Date
2019-05-01
Business Address
KELLY MICHELE KRIVULKA ATC
5850 E STILL CIR
MESA, AZ 85206-3618
Phone number: 480-219-6000
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Mailing Address
KELLY MICHELE KRIVULKA ATC
544 DAIRY WAY
BUELLTON, CA 93427-9302
Phone number: 805-245-5419
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