JASON KYLE CARRUTH

CONWAY, AR
NPI1144637927
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR  AT 084)
Enumeration Date2014-07-14
Last Update Date2014-07-14
Business Address
-- JASON KYLE CARRUTH ATC
550 CLUB LN SUITE 2
CONWAY, AR 72034-3681
Phone number: 501-932-0814
Mailing Address
-- JASON KYLE CARRUTH ATC
68 DONNA KAY DR
GREENBRIER, AR 72058-9579
Phone number: 501-908-3117
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