BRAEDEN CHASE CARROLL

MORGANTOWN, WV
NPI1194280446
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-01-31
Last Update Date2019-01-31
Business Address
BRAEDEN CHASE CARROLL
636 MADISON AVE
MORGANTOWN, WV 26501
Phone number: 304-238-6141
Mailing Address
BRAEDEN CHASE CARROLL
636 MADISON AVE
MORGANTOWN, WV 26501-6720
Phone number: 304-238-6141
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