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1548883580
CHRISTOPHER OUTLAW
RALEIGH, NC
NPI
1548883580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-2564)
Enumeration Date
2020-05-26
Last Update Date
2020-05-26
Business Address
CHRISTOPHER OUTLAW
118 E SOUTH ST
RALEIGH, NC 27601-2341
Phone number: 919-749-5112
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Mailing Address
CHRISTOPHER OUTLAW
630 WESTWOOD DR
GARNER, NC 27529-4580
Phone number: 919-749-5112
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