JUSTIN KEITH WARE

OXFORD, MS
NPI1962091835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT-0708)
Enumeration Date2021-01-14
Last Update Date2021-01-14
Business Address
JUSTIN KEITH WARE ATC
900 SISK AVENUE EXTENDED STE C
OXFORD, MS 38655-3433
Phone number: 662-449-9190
Mailing Address
JUSTIN KEITH WARE ATC
702 HAPPY LN
OXFORD, MS 38655-9634
Phone number: 662-820-0801