ALEX KENDRICK BLACK

BLACKSBURG, VA
NPI1083124556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126002567)
Enumeration Date2017-10-10
Last Update Date2017-10-10
Business Address
ALEX KENDRICK BLACK ATC
150 JAMERSON CENTER (0502) 21 BEAMER WAY
BLACKSBURG, VA 24061-0001
Phone number: 540-231-6410
Mailing Address
ALEX KENDRICK BLACK ATC
834 PATRICK HENRY DR
BLACKSBURG, VA 24060-3141
Phone number: 513-728-1141
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