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1093948937
JOSHUA ANTHONY WHITE
SUFFOLK, VA
NPI
1093948937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 2000001321)
Enumeration Date
2009-08-26
Last Update Date
2009-08-26
Business Address
Mr. JOSHUA ANTHONY WHITE ATC
5838 HARBOUR VIEW BLVD
SUFFOLK, VA 23435-2663
Phone number: 757-673-5971
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Mailing Address
Mr. JOSHUA ANTHONY WHITE ATC
128 GOLDEN MAPLE DR
VIRGINIA BEACH, VA 23452-6775
Phone number: 716-514-6242
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