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1568990091
JONATHON RAY BARBOSA SCOTT
VIENNA, WV
NPI
1568990091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-05-29
Last Update Date
2017-05-29
Business Address
Mr. JONATHON RAY BARBOSA SCOTT ATC
1 CAMPUS DRIVE
VIENNA, WV 26105
Phone number: 304-865-6000
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Mailing Address
Mr. JONATHON RAY BARBOSA SCOTT ATC
511 LAWMAN AVE
BRIDGEPORT, WV 26330-1216
Phone number: 304-838-6011
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