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1548676125
ANDREW WISNIEWSKI
OTTAWA, IL
NPI
1548676125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2014-07-03
Last Update Date
2014-07-03
Business Address
ANDREW WISNIEWSKI ATC
2607 MARA DR
OTTAWA, IL 61350-1053
Phone number: 815-228-9865
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Mailing Address
ANDREW WISNIEWSKI ATC
2607 MARA DR
OTTAWA, IL 61350-1053
Phone number:
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