BLAKE HARRISON HINES

BRANDON, MS
NPI1821486218
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0524)
Enumeration Date2015-01-07
Last Update Date2015-01-07
Business Address
-- BLAKE HARRISON HINES ATC, NASM-PES, MA
214 MEADOWLANDS DR
BRANDON, MS 39047-9070
Phone number: 601-760-2139
Mailing Address
-- BLAKE HARRISON HINES ATC, NASM-PES, MA
214 MEADOWLANDS DR
BRANDON, MS 39047-9070
Phone number: 601-760-2139
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