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1043785421
LEE WEIDAUER
BROOKINGS, SD
NPI
1043785421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2018-10-11
Last Update Date
2018-10-11
Business Address
DR. LEE WEIDAUER ATC
1175 MEDARY AVE S
BROOKINGS, SD 57006-3949
Phone number: 605-688-4630
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Mailing Address
DR. LEE WEIDAUER ATC
509 W 8TH ST
DELL RAPIDS, SD 57022-2122
Phone number: 507-829-1631
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