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1083081715
TAYLOR WITZEL
DES MOINES, IA
NPI
1083081715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 079137)
Enumeration Date
2015-08-28
Last Update Date
2015-08-28
Business Address
-- TAYLOR WITZEL LAT, ATC
450 LAUREL STREET
DES MOINES, IA 50314
Phone number: 515-323-6485
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Mailing Address
-- TAYLOR WITZEL LAT, ATC
1262 OFFICE PARK RD APARTMENT 5
WEST DES MOINES, IA 50265-2494
Phone number: 712-221-1870
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