PHILIP JACOB JANUTOLO

BARBOURVILLE, KY
NPI1063947505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY  AT1313)
Enumeration Date2017-04-21
Last Update Date2017-04-21
Business Address
-- PHILIP JACOB JANUTOLO ATC
310 COLLEGE ST BOX D22
BARBOURVILLE, KY 40906-1410
Phone number: 606-546-1697
Mailing Address
-- PHILIP JACOB JANUTOLO ATC
310 COLLEGE ST BOX D22
BARBOURVILLE, KY 40906-1410
Phone number: 606-546-1697
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