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1821538117
KELLY FICKES
FAIRFAX, VA
NPI
1821538117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000693)
Enumeration Date
2017-03-06
Last Update Date
2017-03-06
Business Address
-- KELLY FICKES ATC
4231 MONUMENT WALL WAY APT 453
FAIRFAX, VA 22030-8433
Phone number: 240-925-1797
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Mailing Address
-- KELLY FICKES ATC
4231 MONUMENT WALL WAY APT 453
FAIRFAX, VA 22030-8433
Phone number:
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