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1609497270
JEFFREY WISEMAN
HAMPTON, VA
NPI
1609497270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126002647)
Enumeration Date
2020-05-05
Last Update Date
2020-05-05
Business Address
JEFFREY WISEMAN ATC, LAT
1 YMCA WAY STE B
HAMPTON, VA 23669-3963
Phone number: 757-736-2676
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Mailing Address
JEFFREY WISEMAN ATC, LAT
1 YMCA WAY STE B
HAMPTON, VA 23669-3963
Phone number: 757-736-2676
Copy
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