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1548644057
EDWARD LUCAS ZELAZNY
SOUTH BURLINGTON, VT
NPI
1548644057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VT 104.0113349)
Enumeration Date
2015-07-14
Last Update Date
2015-07-27
Business Address
-- EDWARD LUCAS ZELAZNY ATC
2069 WILLISTON RD
SOUTH BURLINGTON, VT 05403-6072
Phone number: 802-658-5800
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Mailing Address
-- EDWARD LUCAS ZELAZNY ATC
60 AUSTIN DR APT 2
BURLINGTON, VT 05401
Phone number: 802-825-5663
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