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1821577677
CHASE R STANLEY
EDGEWOOD, KY
NPI
1821577677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY Pending)
Enumeration Date
2018-08-13
Last Update Date
2018-08-13
Business Address
CHASE R STANLEY ATC
560 S LOOP RD
EDGEWOOD, KY 41017-3405
Phone number: 859-301-2663
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Mailing Address
CHASE R STANLEY ATC
933 HIGH KNOLL CT APT 148
VILLA HILLS, KY 41017-3644
Phone number:
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