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1912529934
CALVIN WOODROW KELLER
WINSTON SALEM, NC
NPI
1912529934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC LAT-0810)
Enumeration Date
2020-05-13
Last Update Date
2020-05-13
Business Address
MR. CALVIN WOODROW KELLER LAT-ATC
3507 MIDWAY SCHOOL RD
WINSTON SALEM, NC 27107-8741
Phone number: 336-474-8280
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Mailing Address
MR. CALVIN WOODROW KELLER LAT-ATC
18 LODGE DR
THOMASVILLE, NC 27360-2802
Phone number: 336-906-2202
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