KORY JAYDEN LAZUR

VERNON, CT
NPI1316783715
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT  2000056296)
Enumeration Date2024-07-04
Last Update Date2024-07-04
Business Address
KORY JAYDEN LAZUR ATC
70 LOVELAND HILL RD
VERNON, CT 06066-6836
Phone number: 860-870-6314
Mailing Address
KORY JAYDEN LAZUR ATC
21 JOHNSTON AVE
WILLIMANTIC, CT 06226-3207
Phone number: 860-917-7950
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