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1417216458
LANCE MALO FUJIWARA
LEXINGTON, VA
NPI
1417216458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: VA 0126000244)
Enumeration Date
2012-05-11
Last Update Date
2012-05-11
Business Address
MR. LANCE MALO FUJIWARA M.ED, ATC
307 LETCHER AVE
LEXINGTON, VA 24450-2109
Phone number: 540-570-0270
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Mailing Address
MR. LANCE MALO FUJIWARA M.ED, ATC
307 LETCHER AVE
LEXINGTON, VA 24450-2109
Phone number: 540-570-0270
Copy
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