GREGORY DALE HAWTHORNE

EAST LANSING, MI
NPI1477600963
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2007-01-05
Last Update Date2007-07-08
Business Address
Mr. GREGORY DALE HAWTHORNE ATC
JENISON FIELDHOUSE MICHIGAN STATE UNIVERSITY
EAST LANSING, MI 48823
Phone number: 517-355-1627
Mailing Address
Mr. GREGORY DALE HAWTHORNE ATC
4495 HERITAGE AVE APT B3
OKEMOS, MI 48864-3309
Phone number: 734-834-7862
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