TANNER JOSEPH COSTINE

LYNCHBURG, VA
NPI1386252187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2020-07-17
Last Update Date2020-07-17
Business Address
TANNER JOSEPH COSTINE ATC, LAT
1971 UNIVERSITY BLVD
LYNCHBURG, VA 24515-0002
Phone number: 919-622-0669
Mailing Address
TANNER JOSEPH COSTINE ATC, LAT
1007 SWIFT CREEK DR
CLAYTON, NC 27520-9809
Phone number: 919-622-0669
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