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1164892972
FREDERICK MCWANE
MINNEAPOLIS, MN
NPI
1164892972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MN 1699)
Enumeration Date
2015-10-06
Last Update Date
2015-10-06
Business Address
MR. FREDERICK MCWANE ATC/L
8100 NORTHLAND DR
MINNEAPOLIS, MN 55431-4800
Phone number: 952-977-0467
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Mailing Address
MR. FREDERICK MCWANE ATC/L
8100 NORTHLAND DR
MINNEAPOLIS, MN 55431-4800
Phone number: 952-977-0467
Copy
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