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Individual

MR. BRIAN J. MCCORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
A.T.,C.

Contact information

Practice address
210 N WILSON DR, WEST UNION, OH 45693-1577
(937) 544-7500
(937) 544-6882
Mailing address
958 WILLOW BEND DR, WILMINGTON, OH 45177-2589
(937) 382-5647

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
303
OH

Other

Enumeration date
03/22/2007
Last updated
07/08/2007
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