MARK DONALD ULBRICHT

ASHLAND, OR
NPI1972200681
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT-10211957)
Enumeration Date2023-02-13
Last Update Date2023-02-13
Business Address
MARK DONALD ULBRICHT LAT, ATC
1250 SISKIYOU BLVD
ASHLAND, OR 97520-5001
Phone number: 541-552-6550
Mailing Address
MARK DONALD ULBRICHT LAT, ATC
2630 W MAIN ST UNIT 11
MEDFORD, OR 97501-3697
Phone number: 503-739-0550
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