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1396077954
WILLIAM VAN HARDIN
JACKSON, MS
NPI
1396077954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT0344)
Enumeration Date
2010-02-08
Last Update Date
2010-02-08
Business Address
Mr. WILLIAM VAN HARDIN ATC
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-397-0795
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Mailing Address
Mr. WILLIAM VAN HARDIN ATC
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-397-0795
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