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1538282330
LACEY ANN NORDSIDEN
NEWPORT NEWS, VA
NPI
1538282330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000906)
Enumeration Date
2007-04-08
Last Update Date
2007-07-08
Business Address
Ms. LACEY ANN NORDSIDEN ATC
1 UNIVERSITY PL CHRISTOPHER NEWPORT UNIVERSITY - DEPT OF ATHLETICS
NEWPORT NEWS, VA 23606-2949
Phone number: 757-286-2389
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Mailing Address
Ms. LACEY ANN NORDSIDEN ATC
566 VIRGINIAN DR
NORFOLK, VA 23505-4243
Phone number: 757-642-2052
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