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1093363392
ANDREW JAMES VANDE BERG
GREENVILLE, NC
NPI
1093363392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-08-29
Last Update Date
2019-08-29
Business Address
ANDREW JAMES VANDE BERG ATC
1301 E ARLINGTON BLVD
GREENVILLE, NC 27858-5868
Phone number: 252-565-8812
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Mailing Address
ANDREW JAMES VANDE BERG ATC
1301 E ARLINGTON BLVD
GREENVILLE, NC 27858-5868
Phone number:
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