TYNAN HANCOCK DAVIS

CHICAGO, IL
NPI1720570096
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.004298)
Enumeration Date2018-06-03
Last Update Date2018-06-03
Business Address
Mr. TYNAN HANCOCK DAVIS ATC, LAT
839 W ROOSEVELT RD
CHICAGO, IL 60608-1530
Phone number: 510-301-3364
Mailing Address
Mr. TYNAN HANCOCK DAVIS ATC, LAT
1831 PARKER ST
BERKELEY, CA 94703-1919
Phone number: 510-301-3364
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