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LYNCHBURG, VA
NPI1891050100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2012-07-12
Last Update Date2015-11-10
Business Address
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1971 UNIVERSITY BLVD
LYNCHBURG, VA 24515-0002
Phone number: 864-506-0477
Mailing Address
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1211 RAINBOW FOREST DR
LYNCHBURG, VA 24502-3096
Phone number: 864-506-0477
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