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1194592204
ELIJAH GABRIEL BAYNES-MARSH
NEWPORT NEWS, VA
NPI
1194592204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0136004037)
Enumeration Date
2023-12-08
Last Update Date
2023-12-08
Business Address
Mr. ELIJAH GABRIEL BAYNES-MARSH MAT, LAT, ATC
1 AVENUE OF THE ARTS
NEWPORT NEWS, VA 23606-3072
Phone number: 651-600-0356
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Mailing Address
Mr. ELIJAH GABRIEL BAYNES-MARSH MAT, LAT, ATC
2713 OAK AVE UNIT 1
NEWPORT NEWS, VA 23607-4225
Phone number: 651-600-0356
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