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Individual

MIKE QUINN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MAT, ATC

Contact information

Practice address
105 HIGHLAND AVE, FT MITCHELL, KY 41017-2919
(859) 816-1093
Mailing address
105 HIGHLAND AVE, FT MITCHELL, KY 41017-2919
(859) 816-1093

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/06/2007
Last updated
07/08/2007
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