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1093123408
CHARLES ALAN LOLLAR
MURRAY, KY
NPI
1093123408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT049)
Enumeration Date
2014-07-29
Last Update Date
2014-07-29
Business Address
Mr. CHARLES ALAN LOLLAR ATC
217 STEWART STADIUM
MURRAY, KY 42071-3351
Phone number: 270-809-6858
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Mailing Address
Mr. CHARLES ALAN LOLLAR ATC
217 STEWART STADIUM
MURRAY, KY 42071-3351
Phone number: 270-809-6858
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