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1366923351
VAISHWAN DAVE
WASHINGTON, DC
NPI
1366923351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: CT 2000031799)
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
VAISHWAN DAVE
600 22ND ST NW
WASHINGTON, DC 20052-0055
Phone number: 860-899-4756
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Mailing Address
VAISHWAN DAVE
130 DAVENPORT RD
WEST HARTFORD, CT 06110-2128
Phone number: 860-899-4756
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