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1548650252
OCTAVIA KARRA MATHIS
CHARLOTTESVILLE, VA
NPI
1548650252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126002205)
Enumeration Date
2015-02-02
Last Update Date
2015-02-02
Business Address
Miss OCTAVIA KARRA MATHIS ATC
192 YELLOWSTONE DR APT 308
CHARLOTTESVILLE, VA 22903-8120
Phone number: 757-404-1810
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Mailing Address
Miss OCTAVIA KARRA MATHIS ATC
5337 CHATHAM HALL DR
VIRGINIA BEACH, VA 23464-5428
Phone number: 757-404-1810
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