COREY JUSTIN LACZ

CASTLETON, VT
NPI1679221782
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2022-03-17
Last Update Date2023-10-31
Business Address
Mr. COREY JUSTIN LACZ
62 ALUMNI DR
CASTLETON, VT 05735-4454
Phone number: 802-779-6666
Mailing Address
Mr. COREY JUSTIN LACZ
138 HIGHLAND AVE
WEST RUTLAND, VT 05777-9412
Phone number: 802-779-2666
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