KORTNEY LAROY DELAFOSSE

JONESBORO, AR
NPI1780108647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-08-01
Last Update Date2017-08-01
Business Address
KORTNEY LAROY DELAFOSSE LAT, ATC
2800 ALUMNI BLVD
JONESBORO, AR 72401
Phone number: 870-680-8310
Mailing Address
KORTNEY LAROY DELAFOSSE LAT, ATC
2650 GLENN PL APT 57
JONESBORO, AR 72404-7844
Phone number:
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