JOHNNY ALLEN GROOMS

PARAGOULD, AR
NPI1154705119
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AR  AT284)
Enumeration Date2015-07-19
Last Update Date2015-07-19
Business Address
MR. JOHNNY ALLEN GROOMS
1808 CLOVERDALE ST
PARAGOULD, AR 72450-5894
Phone number: 870-476-9698
Mailing Address
MR. JOHNNY ALLEN GROOMS
1808 CLOVERDALE ST
PARAGOULD, AR 72450-5894
Phone number: 870-476-9698
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