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1720167984
PAUL R MUSGROVE
FORT CAMPBELL, KY
NPI
1720167984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TN 101)
Enumeration Date
2006-11-06
Last Update Date
2023-12-07
Business Address
MR. PAUL R MUSGROVE ATC/L, CSCS, FTC
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 931-920-4644
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Mailing Address
MR. PAUL R MUSGROVE ATC/L, CSCS, FTC
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number:
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