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Individual

SANDRA LEE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
BEREA COLLEGE, CPO 2093, BEREA, KY 40404-0001
(859) 985-3421
Mailing address
854 CEDAR GROVE RD, COXS CREEK, KY 40013-7564

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/27/2006
Last updated
07/08/2007
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