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1518270305
JATIN P AMBEGAONKAR
MANASSAS, VA
NPI
1518270305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126001129)
Enumeration Date
2010-07-21
Last Update Date
2010-07-21
Business Address
Dr. JATIN P AMBEGAONKAR PHD ATC OT CSCS
10900 UNIVERSITY BLVD MS 4E5 - 208 C BULL RUN HALL
MANASSAS, VA 20110-2201
Phone number: 703-993-2123
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Mailing Address
Dr. JATIN P AMBEGAONKAR PHD ATC OT CSCS
5290 JULE STAR DR
CENTREVILLE, VA 20120-3006
Phone number:
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