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1093779761
NATHAN TWEDT
VALPARAISO, IN
NPI
1093779761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001178A)
Enumeration Date
2006-04-12
Last Update Date
2007-07-08
Business Address
Mr. NATHAN TWEDT ATC
1009 UNION ST
VALPARAISO, IN 46383-4529
Phone number: 219-262-5236
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Mailing Address
Mr. NATHAN TWEDT ATC
3803 BLOOMINGDALE AVE
VALPARAISO, IN 46383-1907
Phone number:
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