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Individual

ALEXANDER MICHAEL DAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED., ATC

Contact information

Practice address
290 MASSIE RD, CHARLOTTESVILLE, VA 22903-1767
(269) 929-4656
Mailing address
4590 BLACKTAIL AVE, PORTAGE, MI 49002-9007

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002176
VA

Other

Enumeration date
06/17/2015
Last updated
06/17/2015
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