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1962789859
JACQUELINE KENNEDY MILLWARD
FAYETTEVILLE, NC
NPI
1962789859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 1717)
Enumeration Date
2011-11-07
Last Update Date
2015-03-26
Business Address
Mrs. JACQUELINE KENNEDY MILLWARD MHS, LAT, ATC
1991 FORDHAM DR STE 100
FAYETTEVILLE, NC 28304-3774
Phone number: 910-484-3114
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Mailing Address
Mrs. JACQUELINE KENNEDY MILLWARD MHS, LAT, ATC
1991 FORDHAM DR STE 100
FAYETTEVILLE, NC 28304-3774
Phone number: 910-484-3114
Copy
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