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1982677290
DREW J VAN DAM
KISSIMMEE, FL
NPI
1982677290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 673)
Enumeration Date
2006-02-08
Last Update Date
2007-07-08
Business Address
Mr. DREW J VAN DAM ATC
700 VICTORY WAY
KISSIMMEE, FL 34747-4100
Phone number: 407-939-2315
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Mailing Address
Mr. DREW J VAN DAM ATC
2421 SHEPHERD CIR
NORTHFIELD, NJ 08225
Phone number: 609-485-2227
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