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1003845348
JUSTIN WAYNE MCKINNEY
LEBANON, TN
NPI
1003845348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 110102269)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
Mr. JUSTIN WAYNE MCKINNEY MS, ATC
1616 W MAIN ST
LEBANON, TN 37087-3100
Phone number: 615-443-6818
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Mailing Address
Mr. JUSTIN WAYNE MCKINNEY MS, ATC
102 BENT TREE CT
LEBANON, TN 37087-2057
Phone number: 615-453-8262
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