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1902178148
ASHLEY BONCK WILSON
UNIVERSITY, MS
NPI
1902178148
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Former Name
ASHLEY KAY BONCK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT0551)
Enumeration Date
2012-02-03
Last Update Date
2012-02-03
Business Address
-- ASHLEY BONCK WILSON MHR, ATC, LAT
36 HILL DRIVE BASKETBALL PRACTICE FACILITY
UNIVERSITY, MS 38677
Phone number: 662-915-1375
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Mailing Address
-- ASHLEY BONCK WILSON MHR, ATC, LAT
36 HILL DRIVE BASKETBALL PRACTICE FACILITY
UNIVERSITY, MS 38677
Phone number:
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