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1275959876
BLAKE WICKERHAM
RALEIGH, NC
NPI
1275959876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 2254)
Enumeration Date
2014-03-07
Last Update Date
2014-03-07
Business Address
-- BLAKE WICKERHAM LAT, ATC
3121 WOODS PL
RALEIGH, NC 27607-5231
Phone number: 919-515-2111
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Mailing Address
-- BLAKE WICKERHAM LAT, ATC
3121 WOODS PL
RALEIGH, NC 27607-5231
Phone number: 919-515-2111
Copy
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