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1578985081
BRIAN WILLIAM WIESE
GREENVILLE, NC
NPI
1578985081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 2391)
Enumeration Date
2014-01-17
Last Update Date
2014-01-17
Business Address
Mr. BRIAN WILLIAM WIESE MS, ATC, LAT
116 WARD SPORTS MEDICINE BUILDING
GREENVILLE, NC 27858-4353
Phone number: 252-737-4749
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Mailing Address
Mr. BRIAN WILLIAM WIESE MS, ATC, LAT
116 WARD SPORTS MEDICINE BUILDING
GREENVILLE, NC 27858-4353
Phone number: 252-737-4749
Copy
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