EBONY TARYN ROSE

FORT POLK, LA
NPI1710441951
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT8123)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  AT005900)
Enumeration Date2019-01-22
Last Update Date2022-10-11
Business Address
Ms. EBONY TARYN ROSE MS, LAT, ATC
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 337-531-3011
Mailing Address
Ms. EBONY TARYN ROSE MS, LAT, ATC
124 HINGE CHASE
CIBOLO, TX 78108-3375
Phone number:
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