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1831744663
KRISTEN LONGVILLE
FREMONT, NE
NPI
1831744663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 979)
Enumeration Date
2019-08-08
Last Update Date
2019-08-08
Business Address
KRISTEN LONGVILLE ATS
907 N LOGAN ST
FREMONT, NE 68025-4300
Phone number: 605-620-0013
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Mailing Address
KRISTEN LONGVILLE ATS
907 N LOGAN ST # 294
FREMONT, NE 68025-4300
Phone number:
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