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1003473562
EVAN GRISKOWITZ
LEXINGTON, KY
NPI
1003473562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT1455)
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
EVAN GRISKOWITZ MS, ATC, LAT
3802 LADY DI LN
LEXINGTON, KY 40517-1021
Phone number: 302-540-6145
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Mailing Address
EVAN GRISKOWITZ MS, ATC, LAT
3802 LADY DI LN
LEXINGTON, KY 40517-1021
Phone number:
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