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1396116315
ANDREW WILLIAM STOLL
DETROIT, MI
NPI
1396116315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MI 2601001077)
Enumeration Date
2015-10-16
Last Update Date
2015-10-16
Business Address
ANDREW WILLIAM STOLL MA, AT, ATC
5101 JOHN C. LODGE 101 MATTHAEI
DETROIT, MI 48202
Phone number: 313-577-1008
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Mailing Address
ANDREW WILLIAM STOLL MA, AT, ATC
4429 CROOKS RD
ROYAL OAK, MI 48073-1754
Phone number: 989-305-1346
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