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1992398911
EMMA GWYNN CRUSH
PROSPECT, KY
NPI
1992398911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-02-19
Last Update Date
2021-02-19
Business Address
EMMA GWYNN CRUSH
6708 WILD FOX LN
PROSPECT, KY 40059-9479
Phone number: 502-810-4268
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Mailing Address
EMMA GWYNN CRUSH
6708 WILD FOX LN
PROSPECT, KY 40059-9479
Phone number: 502-810-4268
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