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1073585519
BRIAN MCGIVERN
ATHENS, OH
NPI
1073585519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH 002566)
Enumeration Date
2006-02-07
Last Update Date
2007-07-08
Business Address
-- BRIAN MCGIVERN LAT
48 MOORE AVE
ATHENS, OH 45701
Phone number: 203-246-7604
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Mailing Address
-- BRIAN MCGIVERN LAT
48 MOORE AVE
ATHENS, OH 45701-2749
Phone number:
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