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1447566013
DAVID JOHN DZIEDZICKI
TERRE HAUTE, IN
NPI
1447566013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2010-08-20
Last Update Date
2010-08-20
Business Address
Mr. DAVID JOHN DZIEDZICKI ATC
STUDENT SERVICES BUILDING RM 201
TERRE HAUTE, IN 47809-0001
Phone number: 812-237-8232
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Mailing Address
Mr. DAVID JOHN DZIEDZICKI ATC
1242 HERITAGE LN W
TERRE HAUTE, IN 47803-1397
Phone number: 216-904-6507
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