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1922429539
ALLYSSA RICHARDSON
FORT BRAGG, NC
NPI
1922429539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126001789)
Enumeration Date
2013-12-27
Last Update Date
2022-07-28
Business Address
ALLYSSA RICHARDSON ATC, LAT
2817 REILLY ROAD
FORT BRAGG, NC 28310
Phone number: 910-907-6000
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Mailing Address
ALLYSSA RICHARDSON ATC, LAT
4026 SOUTHERN OAKS DR UNIT 2
FAYETTEVILLE, NC 28314-0972
Phone number: 757-880-7195
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