GRANT WILSON

BURLINGTON, VT
NPI1467493031
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VT  104-000146)
Enumeration Date2006-06-08
Last Update Date2007-07-08
Business Address
Mr. GRANT WILSON MS, ATC, LAT
140 PATRICK GYM 97 SPEAR ST
BURLINGTON, VT 05405-0001
Phone number: 802-656-9951
Mailing Address
Mr. GRANT WILSON MS, ATC, LAT
PO BOX 801
RICHMOND, VT 05477-0801
Phone number: 802-310-1790
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