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1578202073
GUSTAVO ALEJANDRO CANALS
FAIRFAX, VA
NPI
1578202073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-06-02
Last Update Date
2022-06-02
Business Address
GUSTAVO ALEJANDRO CANALS MA, ATC
13104 TALL SHADOWS LN APT A
FAIRFAX, VA 22033-5004
Phone number: 571-215-1880
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Mailing Address
GUSTAVO ALEJANDRO CANALS MA, ATC
13104 TALL SHADOWS LN APT A
FAIRFAX, VA 22033-5004
Phone number: 571-215-1880
Copy
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