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1245331560
JOSH E LUNDGAARD
PARRIS ISLAND, SC
NPI
1245331560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 608)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
Mr. JOSH E LUNDGAARD ATC, CSCS
1ST RECRUIT TRAINING BATTALION HQ, USMCRD-PI BUILDING 592, RM 133
PARRIS ISLAND, SC 29905
Phone number: 843-228-4481
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Mailing Address
Mr. JOSH E LUNDGAARD ATC, CSCS
234 BRICKYARD POINT RD S
BEAUFORT, SC 29907-1206
Phone number: 843-228-4485
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