LAMAR RICHARD INNES

DOUGLAS, AZ
NPI1457752115
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  1203)
Enumeration Date2014-09-11
Last Update Date2014-09-11
Business Address
-- LAMAR RICHARD INNES ATC
4190 W HIGHWAY 80
DOUGLAS, AZ 85607-6100
Phone number: 520-417-4124
Mailing Address
-- LAMAR RICHARD INNES ATC
4190 W HIGHWAY 80
DOUGLAS, AZ 85607-6100
Phone number: 520-417-4124
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