CODY LEE CHURCH

GREENSBORO, NC
NPI1083113633
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  LAT-2983)
Enumeration Date2018-02-09
Last Update Date2018-02-09
Business Address
Mr. CODY LEE CHURCH LAT, ATC
5800 W FRIENDLY AVE
GREENSBORO, NC 27410-4108
Phone number: 336-316-2513
Mailing Address
Mr. CODY LEE CHURCH LAT, ATC
4600 BIG TREE WAY APT 5V
GREENSBORO, NC 27409-2784
Phone number: 336-905-5447
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