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1427461706
SHANE WINKENWADER
WEST FARGO, ND
NPI
1427461706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2014-06-04
Last Update Date
2014-06-04
Business Address
SHANE WINKENWADER ATC
628 23RD ST E APT B
WEST FARGO, ND 58078-2396
Phone number: 701-355-6483
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Mailing Address
SHANE WINKENWADER ATC
628 23RD ST E APT B
WEST FARGO, ND 58078-2396
Phone number:
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