STEPHAN BODKIN

CHARLOTTESVILLE, VA
NPI1164935763
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126002357)
Enumeration Date2017-11-06
Last Update Date2017-11-06
Business Address
STEPHAN BODKIN MEd, ATC
210 EMMET ST S
CHARLOTTESVILLE, VA 22903-2455
Phone number: 434-924-6184
Mailing Address
STEPHAN BODKIN MEd, ATC
1657 WICKLIFFE RD
BERRYVILLE, VA 22611-2558
Phone number:
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