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1144639931
JUSTIN WIERENGA
WASHINGTON, DC
NPI
1144639931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-08-06
Last Update Date
2014-08-06
Business Address
-- JUSTIN WIERENGA ATC
620 MICHIGAN AVE NE
WASHINGTON, DC 20064-0001
Phone number: 202-319-6049
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Mailing Address
-- JUSTIN WIERENGA ATC
243 14TH ST NE APARTMENT 2
WASHINGTON, DC 20002-6413
Phone number: 616-706-1465
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