BRIAN BLACKSTEN

HIGH POINT, NC
NPI1952432510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  0413)
Enumeration Date2007-03-07
Last Update Date2007-07-08
Business Address
Mr. BRIAN BLACKSTEN LAT, ATC
611 N LINDSAY ST
HIGH POINT, NC 27262-4300
Phone number: 336-802-2250
Mailing Address
Mr. BRIAN BLACKSTEN LAT, ATC
1112 VERA CT
HIGH POINT, NC 27262-3732
Phone number: 336-454-6729