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1073850764
JOEL AARON NICKERSON
SALEM, VA
NPI
1073850764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000171)
Enumeration Date
2013-01-15
Last Update Date
2013-01-15
Business Address
Mr. JOEL AARON NICKERSON ATC
400 SPARTAN DR. SALEM HIGH SCHOOL
SALEM, VA 24153
Phone number: 540-387-2437
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Mailing Address
Mr. JOEL AARON NICKERSON ATC
400 SPARTAN DR. SALEM HIGH SCHOOL
SALEM, VA 24153
Phone number: 540-387-2437
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