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1568863710
LAUREN CROCKETT
NORFOLK, VA
NPI
1568863710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126001672)
Enumeration Date
2014-09-08
Last Update Date
2014-09-08
Business Address
-- LAUREN CROCKETT ATC
601 CHILDRENS LN
NORFOLK, VA 23507-1910
Phone number: 757-668-7000
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Mailing Address
-- LAUREN CROCKETT ATC
40 THE LN
IRVINGTON, VA 22480-2208
Phone number: 804-370-4363
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