JOSHUA WILLIAM PORTER

UNIVERSITY, MS
NPI1578875548
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  0639)
Enumeration Date2010-07-07
Last Update Date2014-12-03
Business Address
Mr. JOSHUA WILLIAM PORTER M.S., L.A.T., A.T.C.
1810 MANNING WAY
UNIVERSITY, MS 38677-1848
Phone number: 662-915-7536
Mailing Address
Mr. JOSHUA WILLIAM PORTER M.S., L.A.T., A.T.C.
PO BOX 1848
UNIVERSITY, MS 38677-1848
Phone number: 662-915-7536
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