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1598728057
DANIEL WILLIAM GOTTHARDT
WILLIAMSBURG, VA
NPI
1598728057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000127)
Enumeration Date
2006-04-07
Last Update Date
2007-07-08
Business Address
-- DANIEL WILLIAM GOTTHARDT ATC, EMT-B, CSCS
4460 LONGHILL RD
WILLIAMSBURG, VA 23188-1535
Phone number: 757-565-4281
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Mailing Address
-- DANIEL WILLIAM GOTTHARDT ATC, EMT-B, CSCS
5308 ROCKINGHAM DR
WILLIAMSBURG, VA 23188-8118
Phone number: 757-565-4281
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