OWEN MICHAEL MAINORD

FORT DRUM, NY
NPI1376274886
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2022-06-23
Last Update Date2022-07-15
Business Address
OWEN MICHAEL MAINORD MAT, LAT, ATC, NREMT
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 315-772-2778
Mailing Address
OWEN MICHAEL MAINORD MAT, LAT, ATC, NREMT
12909 S CARRIAGE HILL WAY
NAMPA, ID 83686-6117
Phone number:
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