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1568990760
ANDREW JACOB BUMGARNER
HUNTINGTON, WV
NPI
1568990760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WV AT001434)
Enumeration Date
2017-06-01
Last Update Date
2017-06-01
Business Address
ANDREW JACOB BUMGARNER ATC
1 JOHN MARSHALL DR
HUNTINGTON, WV 25755-0002
Phone number: 304-696-2639
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Mailing Address
ANDREW JACOB BUMGARNER ATC
1225 CHARLESTON AVE
HUNTINGTON, WV 25701-3623
Phone number: 937-631-2464
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