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1780235812
NATHAN DANIEL CUNNINGHAM
BUCKHANNON, WV
NPI
1780235812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV C1A142300246)
Enumeration Date
2019-09-20
Last Update Date
2019-09-20
Business Address
NATHAN DANIEL CUNNINGHAM LAT
270 BU DR
BUCKHANNON, WV 26201-9689
Phone number: 304-472-3720
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Mailing Address
NATHAN DANIEL CUNNINGHAM LAT
44 SEDGWICK ST
BUCKHANNON, WV 26201-2760
Phone number: 304-542-8099
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