JASON DUANE ASDOURIAN

SOUTH PORTLAND, ME
NPI1356355267
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME  AT280)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
Mr. JASON DUANE ASDOURIAN ATC
96 WINDING WAY
SOUTH PORTLAND, ME 04106-6843
Phone number: 207-329-5826
Mailing Address
Mr. JASON DUANE ASDOURIAN ATC
96 WINDING WAY
SOUTH PORTLAND, ME 04106-6843
Phone number: