GREGG ELLIS BOUGHTON

LARAMIE, WY
NPI1932171998
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2006-02-03
Last Update Date2007-07-08
Business Address
MR. GREGG ELLIS BOUGHTON ATC, CSCS
1909 VISTA DR
LARAMIE, WY 82070-5530
Phone number: 307-745-8851
Mailing Address
MR. GREGG ELLIS BOUGHTON ATC, CSCS
5217 VIEW POINT CT
CHEYENNE, WY 82009-5679
Phone number: 307-214-1676
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