COLLIN LANE WESCO

BARBOURVILLE, KY
NPI1275186587
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO  AT.0001920)
Enumeration Date2019-07-17
Last Update Date2019-07-17
Business Address
COLLIN LANE WESCO ATC
310 COLLEGE ST
BARBOURVILLE, KY 40906-1410
Phone number: 606-546-4151
Mailing Address
COLLIN LANE WESCO ATC
104 FAULKNER ST APT 201
BARBOURVILLE, KY 40906-1539
Phone number: 260-479-0661
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