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1992228738
EDMOND CHRISTOPHER INA
WINSTON SALEM, NC
NPI
1992228738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC 1710)
Enumeration Date
2017-07-24
Last Update Date
2017-07-24
Business Address
EDMOND CHRISTOPHER INA LAT, ATC
1901 MOONEY ST
WINSTON SALEM, NC 27103-3032
Phone number: 336-713-5230
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Mailing Address
EDMOND CHRISTOPHER INA LAT, ATC
1901 MOONEY ST
WINSTON SALEM, NC 27103-3032
Phone number:
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