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1104432665
SIMON GOMEZ OSPINA
MORGANTOWN, WV
NPI
1104432665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV AT001476)
Enumeration Date
2020-09-21
Last Update Date
2020-09-21
Business Address
SIMON GOMEZ OSPINA ATC
3450 MONONGAHELA BLVD
MORGANTOWN, WV 26505-3043
Phone number: 304-293-9866
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Mailing Address
SIMON GOMEZ OSPINA ATC
3450 MONONGAHELA BLVD
MORGANTOWN, WV 26505-3043
Phone number: 304-293-9866
Copy
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