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1013314566
ROBERT ANDREW VALLANDINGHAM
TERRE HAUTE, IN
NPI
1013314566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 36002088A)
Enumeration Date
2014-11-28
Last Update Date
2014-11-28
Business Address
MR. ROBERT ANDREW VALLANDINGHAM LAT, ATC
567 N 5TH ST
TERRE HAUTE, IN 47809-1903
Phone number: 812-237-8232
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Mailing Address
MR. ROBERT ANDREW VALLANDINGHAM LAT, ATC
9523 E OAK HILL DR
BLOOMFIELD, IN 47424-5607
Phone number: 850-261-9013
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