Individual
KORTNEY LAROY DELAFOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2800 ALUMNI BLVD, JONESBORO, AR 72401
(870) 680-8310
Mailing address
2650 GLENN PL APT 57, JONESBORO, AR 72404-7844
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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