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1962464198
JOSHUA VANDER VELDEN
NASHVILLE, TN
NPI
1962464198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 0000000717)
Enumeration Date
2006-04-04
Last Update Date
2007-07-08
Business Address
-- JOSHUA VANDER VELDEN MHR, ATC
2601 JESS NEELY DR
NASHVILLE, TN 37212-2039
Phone number: 615-322-8769
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Mailing Address
-- JOSHUA VANDER VELDEN MHR, ATC
4261 CHESNEY GLEN DR
HERMITAGE, TN 37076-4431
Phone number: 615-585-6481
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