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1053322214
MICHAEL HAYDEN WILSON
SYRACUSE, NY
NPI
1053322214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 000879-1)
Enumeration Date
2006-08-11
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL HAYDEN WILSON ATC
1419 SALT SPRINGS RD
SYRACUSE, NY 13214-1302
Phone number: 315-445-4417
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Mailing Address
Mr. MICHAEL HAYDEN WILSON ATC
1419 SALT SPRINGS RD
SYRACUSE, NY 13214-1302
Phone number: 315-445-4417
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