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1982156121
EDWARD RENEHAN
CHARLES TOWN, WV
NPI
1982156121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000148)
Enumeration Date
2016-11-03
Last Update Date
2016-11-03
Business Address
-- EDWARD RENEHAN ATC
517 S MILDRED ST
CHARLES TOWN, WV 25414-1331
Phone number: 703-371-6287
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Mailing Address
-- EDWARD RENEHAN ATC
517 S MILDRED ST
CHARLES TOWN, WV 25414-1331
Phone number:
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