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1407584634
MASON ROBERT WISE
COLUMBUS, OH
NPI
1407584634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-08-15
Last Update Date
2022-08-15
Business Address
MASON ROBERT WISE
453 W 10TH AVE
COLUMBUS, OH 43210-2205
Phone number: 614-292-6446
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Mailing Address
MASON ROBERT WISE
7759 DERBYSHIRE CT
LIBERTY TOWNSHIP, OH 45044-9028
Phone number: 513-759-5315
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