GLENN EDGERTON

FLAGSTAFF, AZ
NPI1083149231
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  1079)
Enumeration Date2017-04-25
Last Update Date2017-04-25
Business Address
-- GLENN EDGERTON EdD, LAT
1705 N SAN FRANCISCO ST
FLAGSTAFF, AZ 86001-1348
Phone number: 928-523-6837
Mailing Address
-- GLENN EDGERTON EdD, LAT
PO BOX 15094
FLAGSTAFF, AZ 86011-0543
Phone number: 928-523-6837
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