BENJAMIN STANLEY STACHOWIAK

DECATUR, AL
NPI1437676467
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-08-30
Last Update Date2018-03-17
Business Address
BENJAMIN STANLEY STACHOWIAK ATC
2506 DANVILLE RD SW
DECATUR, AL 35603-4232
Phone number: 256-350-6331
Mailing Address
BENJAMIN STANLEY STACHOWIAK ATC
134 MCENTIRE LN SW APT E11
DECATUR, AL 35603-7630
Phone number: 630-401-7180
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