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1902580400
GARRETT JAMES BURNSIDE
MORGANTOWN, WV
NPI
1902580400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV AT001882)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
GARRETT JAMES BURNSIDE MSc, LAT, ATC
943 MAPLE DR
MORGANTOWN, WV 26505-2812
Phone number: 304-599-2515
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Mailing Address
GARRETT JAMES BURNSIDE MSc, LAT, ATC
990 IRWIN ST APT D2
MORGANTOWN, WV 26505-2872
Phone number: 304-514-1633
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