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1366059297
ALICIA CARRIE ROTH
ELKINS, WV
NPI
1366059297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV AT001720)
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
ALICIA CARRIE ROTH MS, LAT, ATC
100 CAMPUS DR
ELKINS, WV 26241-3971
Phone number: 304-637-1397
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Mailing Address
ALICIA CARRIE ROTH MS, LAT, ATC
483 TETER RD
BUCKHANNON, WV 26201-9166
Phone number: 304-621-1316
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