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Individual

ASHLEY ROSE SANTOMO BRANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
8726 U.S. HWY 42, FLORENCE, KY 41042
(859) 301-2663
Mailing address
8726 U.S. HWY 42, FLORENCE, KY 41042

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000022647
BOC ATC
Enumeration date
02/21/2023
Last updated
02/21/2023
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