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1003567132
TRAHERN MICHAEL WHITE
BUCKHANNON, WV
NPI
1003567132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV AT001820)
Enumeration Date
2022-01-11
Last Update Date
2022-01-11
Business Address
TRAHERN MICHAEL WHITE LAT, ATC
59 COLLEGE AVE
BUCKHANNON, WV 26201-2600
Phone number: 304-439-1879
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Mailing Address
TRAHERN MICHAEL WHITE LAT, ATC
59 COLLEGE AVE # MSC2224
BUCKHANNON, WV 26201-2600
Phone number: 304-439-1879
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