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1053852681
JAY HERTEL
CHARLOTTESVILLE, VA
NPI
1053852681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-03-15
Last Update Date
2017-03-15
Business Address
-- JAY HERTEL ATC
210 EMMET ST S
CHARLOTTESVILLE, VA 22904-4407
Phone number: 434-243-8673
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Mailing Address
-- JAY HERTEL ATC
210 EMMET STREET SOUTH
CHARLOTTESVILLE, VA 22904-4407
Phone number:
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