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1083158331
MICHAEL WADE LAWTHER
BUFFALO, NY
NPI
1083158331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-12-06
Last Update Date
2016-12-06
Business Address
-- MICHAEL WADE LAWTHER MS, ATC
20 ALUMNI ARENA
BUFFALO, NY 14260-5001
Phone number: 716-645-5138
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Mailing Address
-- MICHAEL WADE LAWTHER MS, ATC
357 W UTICA ST APT 3
BUFFALO, NY 14222-1909
Phone number: 412-303-6192
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