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1417097254
AMY WIEZOREK SCHORK
SAINT LOUIS, MO
NPI
1417097254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2007021719)
Enumeration Date
2007-02-08
Last Update Date
2008-12-05
Business Address
-- AMY WIEZOREK SCHORK ATC
1409B MCCAUSLAND AVE
SAINT LOUIS, MO 63117-1936
Phone number: 937-689-8524
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Mailing Address
-- AMY WIEZOREK SCHORK ATC
1409B MCCAUSLAND AVE
SAINT LOUIS, MO 63117-1936
Phone number: 937-689-8524
Copy
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