MARK DOMINICK

RICHMOND, KY
NPI1255731527
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2014-08-24
Last Update Date2014-08-24
Business Address
Mr. MARK DOMINICK ATC
521 LANCASTER AVE MOBERLY BUILDING
RICHMOND, KY 40475-3100
Phone number: 207-272-6819
Mailing Address
Mr. MARK DOMINICK ATC
113 CHESTNUT DR APARTMENT #3
RICHMOND, KY 40475-7835
Phone number: 207-272-6819
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