GERRY LEE WADDLE

DAVIDSON, NC
NPI1518181189
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC  0817)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
MR. GERRY LEE WADDLE
209 RIDGE ROAD
DAVIDSON, NC 28035
Phone number: 704-894-2806
Mailing Address
MR. GERRY LEE WADDLE
PO BOX 1747
DAVIDSON, NC 28036-1747
Phone number: 704-582-1947
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