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1881231322
COREY LANNERT
BOWLING GREEN, KY
NPI
1881231322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT1382)
Enumeration Date
2019-12-03
Last Update Date
2019-12-03
Business Address
Mr. COREY LANNERT ATC
165 NATCHEZ TRACE AVE STE 100
BOWLING GREEN, KY 42103-7947
Phone number: 270-782-7800
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Mailing Address
Mr. COREY LANNERT ATC
165 NATCHEZ TRACE AVE STE 100
BOWLING GREEN, KY 42103-7947
Phone number: 270-782-7800
Copy
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