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1598896011
BRIAN S WISMER
DEERFIELD, IL
NPI
1598896011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
BRIAN S WISMER ATC, KT
770 CASTLEWOOD LN
DEERFIELD, IL 60015-3971
Phone number: 847-236-9499
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Mailing Address
BRIAN S WISMER ATC, KT
770 CASTLEWOOD LN
DEERFIELD, IL 60015-3971
Phone number: 847-236-9499
Copy
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