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1215542121
GARY E MCILVAIN
HUNTINGTON, WV
NPI
1215542121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
Prof. GARY E MCILVAIN ATC
1 JOHN MARSHALL DRIVE GULLICKSON HALL 1
HUNTINGTON, WV 25755-0001
Phone number: 304-696-2930
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Mailing Address
Prof. GARY E MCILVAIN ATC
1 JOHN MARSHALL DRIVE GULLICKSON HALL 112
HUNTINGTON, WV 25755-0001
Phone number: 304-696-2930
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