MICHAEL THOMAS MOLINE

CASPER, WY
NPI1750426870
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WY  010)
Enumeration Date2007-02-20
Last Update Date2011-12-05
Business Address
-- MICHAEL THOMAS MOLINE ATC
125 COLLEGE DR
CASPER, WY 82601-4612
Phone number: 307-268-2259
Mailing Address
-- MICHAEL THOMAS MOLINE ATC
2544 FAIRDALE AVE
CASPER, WY 82601-5157
Phone number: 307-247-2135
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