Individual
GRANT EDWARD NORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, NREMT-B
Contact information
Practice address
290 MASSIE ROAD, RM. 112, CHARLOTTESVILLE, VA 22904-4834
(951) 529-6923
Mailing address
160 WAHOO WAY APT 212, CHARLOTTESVILLE, VA 22903-4154
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001331
VA
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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