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1720506678
TREVOR DANIEL VAN HAUTE
FORT CAMPBELL, KY
NPI
1720506678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-08-30
Last Update Date
2023-09-13
Business Address
TREVOR DANIEL VAN HAUTE ATC
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 760-271-0167
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Mailing Address
TREVOR DANIEL VAN HAUTE ATC
874 NEEDMORE RD APT E5
CLARKSVILLE, TN 37040-2335
Phone number: 760-271-0167
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