BRENT ALEXANDER ROARK

ATHENS, WV
NPI1083121917
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV  AT001370)
Enumeration Date2017-12-31
Last Update Date2017-12-31
Business Address
BRENT ALEXANDER ROARK ATC
1000 VERMILLION ST
ATHENS, WV 24712-9027
Phone number: 304-384-6320
Mailing Address
BRENT ALEXANDER ROARK ATC
1000 VERMILLION ST
ATHENS, WV 24712-9027
Phone number: 304-384-6320
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