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1003374448
AUSTIN CALEB SWANSON
LYNCHBURG, VA
NPI
1003374448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-03-05
Last Update Date
2019-03-05
Business Address
AUSTIN CALEB SWANSON
1971 UNIVERSITY BLVD
LYNCHBURG, VA 24515-0002
Phone number: 434-944-7713
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Mailing Address
AUSTIN CALEB SWANSON
639 FARFIELDS DR
LYNCHBURG, VA 24502-3905
Phone number: 434-944-7713
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