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1881397024
MARTIN DANIEL
OWENSBORO, KY
NPI
1881397024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KY AT99)
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
MARTIN DANIEL
3000 FREDERICA ST
OWENSBORO, KY 42301-6057
Phone number: 270-852-3505
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Mailing Address
MARTIN DANIEL
3000 FREDERICA ST
OWENSBORO, KY 42301-6057
Phone number: 567-230-2664
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