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1558787788
TYLER MACDONNELL
RALEIGH, NC
NPI
1558787788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 1148)
Enumeration Date
2014-03-12
Last Update Date
2014-03-12
Business Address
-- TYLER MACDONNELL ATC
4600 TRINITY RD
RALEIGH, NC 27607-3924
Phone number: 919-515-3961
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Mailing Address
-- TYLER MACDONNELL ATC
4600 TRINITY RD
RALEIGH, NC 27607-3924
Phone number: 919-515-3961
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