Individual
JOHN DEBILZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
474 OSPREY CIR, LEXINGTON, KY 40503-4356
(859) 420-4135
Mailing address
474 OSPREY CIR, LEXINGTON, KY 40503-4356
(859) 420-4135
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
089
KY
Other
Enumeration date
06/29/2014
Last updated
06/29/2014
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