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1356559348
WADE M WELTON
FAYETTE, MO
NPI
1356559348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 102437)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Mr. WADE M WELTON ATC
411 CENTRAL METHODIST SQ CENTRAL METHODIST UNIVERSITY
FAYETTE, MO 65248-1104
Phone number: 660-248-6217
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Mailing Address
Mr. WADE M WELTON ATC
521 COUNTY ROAD 105
FAYETTE, MO 65248-8833
Phone number: 660-248-6217
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