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Individual

KYLE AMBROSE STAGGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
JAMERSON ATHLETIC CENTER ROOM 160 21 BEAMER WAY, BLACKSBURG, VA 24061-0001
(540) 231-6410
Mailing address
JAMERSON ATHLETIC CENTER ROOM 160 21 BEAMER WAY, BLACKSBURG, VA 24061-0001

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002290
VA

Other

Enumeration date
01/22/2018
Last updated
01/22/2018
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