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1245296128
WAYNE ALLAN WEDDERMAN
BARNEGAT, NJ
NPI
1245296128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00078400)
Enumeration Date
2006-04-21
Last Update Date
2007-07-08
Business Address
Mr. WAYNE ALLAN WEDDERMAN ATC
180 BENGAL BLVD
BARNEGAT, NJ 08005-2159
Phone number: 609-660-7510
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Mailing Address
Mr. WAYNE ALLAN WEDDERMAN ATC
180 BENGAL BLVD.
BARNEGAT, NJ 08005
Phone number: 609-660-7510
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