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1467145656
CARYDAD ANN BOLIVAR
CHARLOTTESVILLE, VA
NPI
1467145656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-06-01
Last Update Date
2023-06-01
Business Address
CARYDAD ANN BOLIVAR
550 BRANDON AVE
CHARLOTTESVILLE, VA 22903
Phone number: 786-443-4324
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Mailing Address
CARYDAD ANN BOLIVAR
2394 SW 19TH ST
MIAMI, FL 33145-2432
Phone number: 786-443-4324
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