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1205952538
JOHN C WEIDA
MISSOULA, MT
NPI
1205952538
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Other Name
JC WEIDA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
Mr. JOHN C WEIDA ATC
32 CAMPUS DR RHINEHART ATC
MISSOULA, MT 59812-0003
Phone number: 406-243-6362
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Mailing Address
Mr. JOHN C WEIDA ATC
6319 LONGVIEW DR
MISSOULA, MT 59803-3372
Phone number: 406-251-1304
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