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1477902880
LUCAS KLAWITER
MORGANTOWN, WV
NPI
1477902880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV AT001394)
Enumeration Date
2016-06-07
Last Update Date
2016-06-07
Business Address
-- LUCAS KLAWITER ATC
109 WILSON AVE
MORGANTOWN, WV 26501-7521
Phone number: 304-291-9260
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Mailing Address
-- LUCAS KLAWITER ATC
5000 STATION ST APT 323
MORGANTOWN, WV 26508-7442
Phone number:
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