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1265682108
CASSANDRA M LATIMER CLEVENGER
SOUTH CHARLESTON, WV
NPI
1265682108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2008-09-29
Last Update Date
2008-09-29
Business Address
-- CASSANDRA M LATIMER CLEVENGER MS, ATC
4024 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309-1510
Phone number: 304-768-7671
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Mailing Address
-- CASSANDRA M LATIMER CLEVENGER MS, ATC
612 HIGH ST
SAINT ALBANS, WV 25177-2431
Phone number: 304-634-5145
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