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1922322627
MARK ALAN SUTHERLIN
CHARLOTTESVILLE, VA
NPI
1922322627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VT 104.0000172)
Enumeration Date
2010-03-24
Last Update Date
2014-09-05
Business Address
-- MARK ALAN SUTHERLIN ATC
210 EMMET ST S
CHARLOTTESVILLE, VA 22903
Phone number: 434-924-6184
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Mailing Address
-- MARK ALAN SUTHERLIN ATC
210 EMMET ST S.
CHARLOTTESVILLE, VA 22903
Phone number: 434-924-6184
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