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1922627512
CASEY J STAIDL
VIRGINIA BEACH, VA
NPI
1922627512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-04-13
Last Update Date
2020-04-13
Business Address
CASEY J STAIDL
5300 KEMPSRIVER DR
VIRGINIA BEACH, VA 23464-5369
Phone number: 757-233-0240
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Mailing Address
CASEY J STAIDL
1149 ACREDALE RD
VIRGINIA BEACH, VA 23464-5907
Phone number: 904-553-1236
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