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1174924559
JONATHAN ANDREW STARCKE
CHESAPEAKE, VA
NPI
1174924559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126002100)
Enumeration Date
2014-09-04
Last Update Date
2014-09-04
Business Address
-- JONATHAN ANDREW STARCKE ATC, VATL
500 DISCOVERY DR
CHESAPEAKE, VA 23320-3871
Phone number: 757-605-8000
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Mailing Address
-- JONATHAN ANDREW STARCKE ATC, VATL
3029 HEAD RIVER RD
VIRGINIA BEACH, VA 23457-1136
Phone number: 757-605-8000
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