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1417349846
JOHN PONTON
BUCKHANNON, WV
NPI
1417349846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: VA 0126002119)
Enumeration Date
2015-02-23
Last Update Date
2015-02-23
Business Address
JOHN PONTON ATC
270 BU DR
BUCKHANNON, WV 26201-9689
Phone number: 703-635-8848
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Mailing Address
JOHN PONTON ATC
88 CAMDEN AVE
BUCKHANNON, WV 26201-2534
Phone number: 703-635-8848
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