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1306233689
TERRY E WALBURN
CHESAPEAKE, VA
NPI
1306233689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000110)
Enumeration Date
2015-04-23
Last Update Date
2015-04-23
Business Address
Mr. TERRY E WALBURN MSEd., ATC, VATL
409 SUPPLEJACK CT
CHESAPEAKE, VA 23320-9233
Phone number: 757-548-5815
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Mailing Address
Mr. TERRY E WALBURN MSEd., ATC, VATL
409 SUPPLEJACK CT
CHESAPEAKE, VA 23320-9233
Phone number: 757-548-5815
Copy
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