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1073656294
DAVID BOTELHO
NORTHFIELD, VT
NPI
1073656294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VT 104-0000028)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
-- DAVID BOTELHO ATC
158 HARMON DR NORWICH UNIVERSITY
NORTHFIELD, VT 05663-1000
Phone number: 802-485-2236
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Mailing Address
-- DAVID BOTELHO ATC
25 WOODS END DR
ESSEX JUNCTION, VT 05452-4731
Phone number:
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