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Individual

MS. KATHY W HOLLOMON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
123 MIDDLE CREEK PARK AVE, APEX, NC 27539-7983
(919) 661-5474
Mailing address
3020 WHITE CLOUD CIR, APEX, NC 27502-4065
(919) 306-9977

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0442
NC

Other

Enumeration date
03/17/2006
Last updated
07/08/2007
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