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1023259678
GRANT EDWARD NORTE
CHARLOTTESVILLE, VA
NPI
1023259678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126001331)
Enumeration Date
2009-03-11
Last Update Date
2009-03-11
Business Address
-- GRANT EDWARD NORTE ATC, NREMT-B
290 MASSIE ROAD RM. 112
CHARLOTTESVILLE, VA 22904-4834
Phone number: 951-529-6923
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Mailing Address
-- GRANT EDWARD NORTE ATC, NREMT-B
160 WAHOO WAY APT 212
CHARLOTTESVILLE, VA 22903-4154
Phone number:
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