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1285176990
QUADE HAYNIE
FRESNO, CA
NPI
1285176990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT6888)
Enumeration Date
2016-11-11
Last Update Date
2017-02-02
Business Address
-- QUADE HAYNIE LAT, ATC
1717 S CHESTNUT AVE
FRESNO, CA 93702-4709
Phone number: 435-421-9132
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Mailing Address
-- QUADE HAYNIE LAT, ATC
4732 E ALAMOS AVE UNIT #105
FRESNO, CA 93726-1463
Phone number: 435-421-9132
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