AARON MANGUM

LAGRANGE, KY
NPI1407250483
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2014-10-20
Last Update Date2014-10-20
Business Address
Mr. AARON MANGUM MAT, ATC
2850 JERICHO ROAD
LAGRANGE, KY 40031
Phone number: 502-648-8483
Mailing Address
Mr. AARON MANGUM MAT, ATC
2850 JERICHO RD
LA GRANGE, KY 40031-8215
Phone number:
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