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1508016122
CRAIG STEPHEN WAINWRIGHT
DAVENPORT, IA
NPI
1508016122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 00323)
Enumeration Date
2008-09-19
Last Update Date
2008-09-19
Business Address
-- CRAIG STEPHEN WAINWRIGHT ATC-LAT
3385 DEXTER CT STE 301
DAVENPORT, IA 52807-3471
Phone number: 563-344-6645
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Mailing Address
-- CRAIG STEPHEN WAINWRIGHT ATC-LAT
3385 DEXTER CT STE 301
DAVENPORT, IA 52807-3471
Phone number: 563-344-6645
Copy
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