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1851328975
SCOTT R GRAVATT
FREDERICKSBURG, VA
NPI
1851328975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
-- SCOTT R GRAVATT MS, VATL, ATC
12301 SPOTSWOOD FURNACE RD
FREDERICKSBURG, VA 22407-2208
Phone number: 540-548-4051
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Mailing Address
-- SCOTT R GRAVATT MS, VATL, ATC
3900 BLACKBERRY LN
FREDERICKSBURG, VA 22407-4854
Phone number: 540-760-5358
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