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1023614971
ANGELA ELIZABETH MOENING
NORFOLK, VA
NPI
1023614971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126002873)
Enumeration Date
2020-12-07
Last Update Date
2020-12-07
Business Address
ANGELA ELIZABETH MOENING LAT, ATC
4251 POWHATAN AVE
NORFOLK, VA 23508-2225
Phone number: 419-204-4187
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Mailing Address
ANGELA ELIZABETH MOENING LAT, ATC
705 REDGATE AVE APT 17
NORFOLK, VA 23507-1633
Phone number: 419-204-4187
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