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1740838648
DESIREE DANIELS
HUNTINGTON, WV
NPI
1740838648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV AT001667)
Enumeration Date
2019-09-04
Last Update Date
2019-09-04
Business Address
Miss DESIREE DANIELS ATC
1 JOHN MARSHALL DR
HUNTINGTON, WV 25755-0002
Phone number: 304-419-1469
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Mailing Address
Miss DESIREE DANIELS ATC
305 FAIRVIEW DR
HURRICANE, WV 25526-1711
Phone number: 304-419-1469
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