JACK WINN MANSFIELD

HARROGATE, TN
NPI1346277977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN  AT0000001015)
Enumeration Date2006-06-27
Last Update Date2007-07-08
Business Address
-- JACK WINN MANSFIELD ATC
6569 CUMBERLAND GAP PKWY
HARROGATE, TN 37752-8015
Phone number: 423-869-6322
Mailing Address
-- JACK WINN MANSFIELD ATC
331 COLWYN AVE PO BOX 213
CUMBERLAND GAP, TN 37724
Phone number: 423-869-0802
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