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1255671251
ANGELITO VERA CRUZ
QUANTICO, VA
NPI
1255671251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000386)
Enumeration Date
2013-02-27
Last Update Date
2013-02-27
Business Address
Mr. ANGELITO VERA CRUZ M.S. Ed., ATC, VATL
2189 ELROD AVE
QUANTICO, VA 22134-5113
Phone number: 703-432-6216
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Mailing Address
Mr. ANGELITO VERA CRUZ M.S. Ed., ATC, VATL
2189 ELROD AVE
QUANTICO, VA 22134-5113
Phone number: 703-432-6216
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