JAIRUS DANIEL

LIVINGSTON, AL
NPI1316206527
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AL  1356)
Enumeration Date2012-05-08
Last Update Date2012-05-08
Business Address
JAIRUS DANIEL ATC
1 COLLEGE DR UWA STATION 14
LIVINGSTON, AL 35470-2098
Phone number: 205-652-3877
Mailing Address
JAIRUS DANIEL ATC
1 COLLEGE DR UWA STATION 14
LIVINGSTON, AL 35470-2098
Phone number:
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