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1861422255
BILLY TYLER EDWARDS
BOWLING GREEN, KY
NPI
1861422255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT016)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
Mr. BILLY TYLER EDWARDS ATC
1605 AVENUE OF CHAMPIONS
BOWLING GREEN, KY 42101-6412
Phone number: 270-745-6026
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Mailing Address
Mr. BILLY TYLER EDWARDS ATC
1451 CROSS WINDS AVE
BOWLING GREEN, KY 42104-4715
Phone number: 270-843-1063
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