CHARLES TED EVANS

OWENSBORO, KY
NPI1679988091
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY  AT1080)
Enumeration Date2014-06-24
Last Update Date2014-06-24
Business Address
-- CHARLES TED EVANS MSEd, ATC, LAT
1301 PLEASANT VALLEY RD # 500
OWENSBORO, KY 42303-9774
Phone number: 270-417-7940
Mailing Address
-- CHARLES TED EVANS MSEd, ATC, LAT
1301 PLEASANT VALLEY RD # 500
OWENSBORO, KY 42303-9774
Phone number: 270-417-7940
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