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1164168480
JULIE BANASZAK
NORFOLK, VA
NPI
1164168480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000663)
Enumeration Date
2022-05-10
Last Update Date
2022-05-10
Business Address
JULIE BANASZAK ATC
601 CHILDRENS LN
NORFOLK, VA 23507-1910
Phone number: 757-668-6550
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Mailing Address
JULIE BANASZAK ATC
171 KEMPSVILLE RD BLDG A
NORFOLK, VA 23502-4700
Phone number:
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