FRED WYNN HINA

LOUISVILLE, KY
NPI1467803163
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY  AT128)
Enumeration Date2016-06-24
Last Update Date2016-06-24
Business Address
Mr. FRED WYNN HINA ATC
2432 S FLOYD ST
LOUISVILLE, KY 40209-1805
Phone number: 502-852-0116
Mailing Address
Mr. FRED WYNN HINA ATC
2432 S FLOYD ST
LOUISVILLE, KY 40209-1805
Phone number: 502-852-0116
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