KYLE LYNN MABRY

ASHLAND, OR
NPI1215988001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT-1000469)
Enumeration Date2006-05-15
Last Update Date2007-07-08
Business Address
Mr. KYLE LYNN MABRY ATC
275 LITHIA WAY
ASHLAND, OR 97520
Phone number: 541-482-6748
Mailing Address
Mr. KYLE LYNN MABRY ATC
PO BOX 1214
PHOENIX, OR 97535
Phone number: 541-512-1606