TABANI RICHARDS

LEXINGTON, KY
NPI1083034813
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY  AT983)
Enumeration Date2014-04-19
Last Update Date2014-04-19
Business Address
-- TABANI RICHARDS ATC
136 SPORTS CENTER DR
LEXINGTON, KY 40506-0227
Phone number: 859-257-8953
Mailing Address
-- TABANI RICHARDS ATC
618 BIG BEAR LN
LEXINGTON, KY 40517-2054
Phone number:
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