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1104335629
MICHAEL ANDREW BURKEITT
NORFOLK, VA
NPI
1104335629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126002582)
Enumeration Date
2017-09-27
Last Update Date
2017-09-27
Business Address
MICHAEL ANDREW BURKEITT ATC
4500 PARKER AVENUE
NORFOLK, VA 23529-0001
Phone number: 609-320-2546
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Mailing Address
MICHAEL ANDREW BURKEITT ATC
207 WESTOVER AVE APT 201
NORFOLK, VA 23507-2315
Phone number:
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