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1487302592
TIM M BANE
GRUNDY, VA
NPI
1487302592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000341)
Enumeration Date
2022-03-17
Last Update Date
2022-03-17
Business Address
Mr. TIM M BANE ATC
1092 WINTER WREN ST
GRUNDY, VA 24614-5770
Phone number: 540-632-9184
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Mailing Address
Mr. TIM M BANE ATC
1092 WINTER WREN ST
GRUNDY, VA 24614-5770
Phone number: 540-632-9184
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