WAYNE THOMAS NORTHRUP

LOS ANGELES, CA
NPI1063449858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2006-06-27
Last Update Date2007-07-08
Business Address
-- WAYNE THOMAS NORTHRUP ATC
11350 PALMS BLVD
LOS ANGELES, CA 90066-2104
Phone number: 310-391-7127
Mailing Address
-- WAYNE THOMAS NORTHRUP ATC
11350 PALMS BLVD
LOS ANGELES, CA 90066-2104
Phone number: 310-391-7127
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