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1114525060
JONATHAN RANN NELSON-CHAVIS
DURHAM, NC
NPI
1114525060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-3630)
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
JONATHAN RANN NELSON-CHAVIS LAT, ATC
3708 MAYFAIR ST
DURHAM, NC 27707-6226
Phone number: 984-215-4780
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Mailing Address
JONATHAN RANN NELSON-CHAVIS LAT, ATC
5902 TATTERSALL DR APT 25
DURHAM, NC 27713-9055
Phone number: 252-213-5740
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