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1033720073
ANTHONI AUSTIN WEDDERBURN
RALEIGH, NC
NPI
1033720073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-1496)
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
Mr. ANTHONI AUSTIN WEDDERBURN ATC, LAT
1401 EDWARDS MILL RD
RALEIGH, NC 27607-0718
Phone number: 919-834-1625
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Mailing Address
Mr. ANTHONI AUSTIN WEDDERBURN ATC, LAT
5501 THUNDERIDGE DR
RALEIGH, NC 27610-5163
Phone number: 919-780-4758
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