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1962091835
JUSTIN KEITH WARE
OXFORD, MS
NPI
1962091835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT-0708)
Enumeration Date
2021-01-14
Last Update Date
2021-01-14
Business Address
JUSTIN KEITH WARE ATC
900 SISK AVENUE EXTENDED STE C
OXFORD, MS 38655-3433
Phone number: 662-449-9190
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Mailing Address
JUSTIN KEITH WARE ATC
702 HAPPY LN
OXFORD, MS 38655-9634
Phone number: 662-820-0801
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