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1528616729
JOHN RICHARD WISE
LYNCHBURG, VA
NPI
1528616729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-08-30
Last Update Date
2019-08-30
Business Address
JOHN RICHARD WISE CSCS, ACSM-EP
1501 LAKESIDE DR
LYNCHBURG, VA 24501-3113
Phone number: 870-613-3355
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Mailing Address
JOHN RICHARD WISE CSCS, ACSM-EP
952 LINDSAY ST
LYNCHBURG, VA 24502-1501
Phone number: 870-613-3355
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