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1780768002
PRESTON CARLSON
HUNTSVILLE, AL
NPI
1780768002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 855)
Enumeration Date
2006-10-24
Last Update Date
2012-09-06
Business Address
Mr. PRESTON CARLSON ATC
101 SIVLEY RD SW
HUNTSVILLE, AL 35801-4421
Phone number: 256-565-1000
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Mailing Address
Mr. PRESTON CARLSON ATC
1808 BECKY LN
SCOTTSBORO, AL 35769-3935
Phone number: 256-599-6099
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