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1093425415
DARIS WIENK
TAMPA, FL
NPI
1093425415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-11-28
Last Update Date
2022-11-28
Business Address
DARIS WIENK
15210 AMBERLY DR APT 1628
TAMPA, FL 33647-2193
Phone number: 239-682-6835
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Mailing Address
DARIS WIENK
15210 AMBERLY DR APT 1628
TAMPA, FL 33647-2193
Phone number: 239-682-6835
Copy
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