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1619912821
MICHAEL G KOTELNICKI
WINCHESTER, VA
NPI
1619912821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-06-19
Last Update Date
2013-09-12
Business Address
Mr. MICHAEL G KOTELNICKI ATC
1400 UNIVERSITY DRIVE
WINCHESTER, VA 22601
Phone number: 703-573-1175
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Mailing Address
Mr. MICHAEL G KOTELNICKI ATC
100 ORCHID COURT
WINCHESTER, VA 22602
Phone number: 703-573-1175
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