EDMESTON ADOLPHUS WOODLEY

HATTIESBURG, MS
NPI1518168236
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0426)
Enumeration Date2007-05-30
Last Update Date2007-07-08
Business Address
Mr. EDMESTON ADOLPHUS WOODLEY ATC, LAT
118 COLLEGE DR # 5017
HATTIESBURG, MS 39406-0001
Phone number: 601-266-6666
Mailing Address
Mr. EDMESTON ADOLPHUS WOODLEY ATC, LAT
309 LAKE AVE
PUEBLO, CO 81004-2329
Phone number: 719-924-0168
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