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1366859134
CORY KENNETH VANAMBERG
GREENVILLE, SC
NPI
1366859134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-07-14
Last Update Date
2014-09-22
Business Address
Mr. CORY KENNETH VANAMBERG ATC
3 S WARWICK RD
GREENVILLE, SC 29617-6167
Phone number: 906-286-0047
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Mailing Address
Mr. CORY KENNETH VANAMBERG ATC
9524W STATE HIGHWAY M149
MANISTIQUE, MI 49854
Phone number: 906-286-0047
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