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1598986168
ROBERT ERNEST LIEBAU
NORFOLK, VA
NPI
1598986168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000238)
Enumeration Date
2007-05-01
Last Update Date
2016-04-16
Business Address
Mr. ROBERT ERNEST LIEBAU VATL, ATC
601 CHILDRENS LN
NORFOLK, VA 23507-1910
Phone number: 757-403-2913
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Mailing Address
Mr. ROBERT ERNEST LIEBAU VATL, ATC
10705 HEATHER GREENS CIRCLE
SPOTSYLVANIA, VA 22553
Phone number: 540-891-4607
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