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1801574751
KAISON DAMARUS AMES
COLUMBIA, KY
NPI
1801574751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
Mr. KAISON DAMARUS AMES MAT, ATC
210 LINDSEY WILSON ST
COLUMBIA, KY 42728-1298
Phone number: 270-634-2197
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Mailing Address
Mr. KAISON DAMARUS AMES MAT, ATC
210 LINDSEY WILSON ST
COLUMBIA, KY 42728-1298
Phone number:
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