EDWARD JONATHAN BREIGHT

JACKSON, MS
NPI1255712048
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN  2000009324)
Enumeration Date2015-06-17
Last Update Date2015-06-17
Business Address
-- EDWARD JONATHAN BREIGHT M.S., ATC
1325 EAST FORTICATION STREET
JACKSON, MS 39202
Phone number: 661-466-3262
Mailing Address
-- EDWARD JONATHAN BREIGHT M.S., ATC
520 VINE DR APT 8C
FLOWOOD, MS 39232-7744
Phone number: 661-466-3262
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