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1821131467
JESSICA L KUSHALL
WILMINGTON, DE
NPI
1821131467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: DE J3-0000167)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
-- JESSICA L KUSHALL ATC
1812 MARSH RD STORE 505
WILMINGTON, DE 19810-4581
Phone number: 302-475-7500
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Mailing Address
-- JESSICA L KUSHALL ATC
7206 PLEASANT CT
WILMINGTON, DE 19802-1771
Phone number: 302-762-1361
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