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1780074575
MEGAN PATHOOMVANH
NORFOLK, VA
NPI
1780074575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126002178)
Enumeration Date
2015-01-31
Last Update Date
2015-01-31
Business Address
Miss MEGAN PATHOOMVANH ATC, VATL
6501 CHESAPEAKE BLVD
NORFOLK, VA 23513-1974
Phone number: 401-222-9476
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Mailing Address
Miss MEGAN PATHOOMVANH ATC, VATL
4233 LLEWELLYN AVE APT 108
NORFOLK, VA 23504-1132
Phone number: 401-222-9476
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