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1962966515
MADELINE WYATT
GEORGETOWN, KY
NPI
1962966515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-01-29
Last Update Date
2019-07-22
Business Address
MADELINE WYATT
400 E COLLEGE ST
GEORGETOWN, KY 40324-1696
Phone number: 502-863-7032
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Mailing Address
MADELINE WYATT
400 E COLLEGE ST
GEORGETOWN, KY 40324-1696
Phone number: 502-863-7032
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