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Individual

ANGELA COLEMAN WITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1971 UNIVERSITY BLVD, ICE CENTER, LYNCHBURG, VA 24502-2269
(434) 592-6390
(434) 522-0549
Mailing address
1971 UNIVERSITY BLVD, ICE CENTER, LYNCHBURG, VA 24502-2269
(434) 592-6390
(434) 522-0549

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000348
VA

Other

Enumeration date
12/12/2012
Last updated
12/12/2012
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