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MR. WILLIAM CLINTON GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
100 EAST LIBERY STREET, LOUISVILLE, KY 40201-1854
(502) 585-4571
Mailing address
6317 ZURICH CT, PROSPECT, KY 40059-7513
(502) 599-6580

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT316
KY

Other

Enumeration date
10/10/2006
Last updated
07/19/2023
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