LANCE GHOLSTON

GRAND PRAIRIE, TX
NPI1851945513
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT4061)
Enumeration Date2019-07-30
Last Update Date2019-07-30
Business Address
LANCE GHOLSTON
301 W WARRIOR TRL
GRAND PRAIRIE, TX 75052-5718
Phone number: 972-343-1676
Mailing Address
LANCE GHOLSTON
301 W WARRIOR TRL
GRAND PRAIRIE, TX 75052-5718
Phone number: 972-343-1676
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