JOHN WIESE

LA MIRADA, CA
NPI1235676800
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-01-20
Last Update Date2017-01-20
Business Address
-- JOHN WIESE ATC
13800 BIOLA AVE
LA MIRADA, CA 90639-0002
Phone number: 562-944-0351
Mailing Address
-- JOHN WIESE ATC
5499 TRAIL ST
NORCO, CA 92860-2477
Phone number: 951-738-1614
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