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1912284381
RICHELLE VANWAGONER
WEST PALM BEACH, FL
NPI
1912284381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL3114)
Enumeration Date
2011-11-13
Last Update Date
2012-05-01
Business Address
-- RICHELLE VANWAGONER MS, ATC, LAT
2600 N MILITARY TRL ATHLETIC TRAINING
WEST PALM BEACH, FL 33409-2911
Phone number: 561-681-7931
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Mailing Address
-- RICHELLE VANWAGONER MS, ATC, LAT
2600 N MILITARY TRL ATHLETIC TRAINING
WEST PALM BEACH, FL 33409-2911
Phone number: 561-681-7931
Copy
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