STANLEY MCCOLLOUGH

JACKSON, MS
NPI1497872253
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2007-03-24
Last Update Date2007-07-08
Business Address
-- STANLEY MCCOLLOUGH ATC, LAT, MHSA
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4488
Mailing Address
-- STANLEY MCCOLLOUGH ATC, LAT, MHSA
222 TURTLE CREEK DR
BYRAM, MS 39272-9793
Phone number:
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