STANLEY WAYNE CRADDOCK

CHARLOTTE, NC
NPI1619905478
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  0086)
Enumeration Date2006-06-29
Last Update Date2007-07-08
Business Address
Mr. STANLEY WAYNE CRADDOCK LAT
7301 SARDIS RD
CHARLOTTE, NC 28270-6063
Phone number: 704-363-7147
Mailing Address
Mr. STANLEY WAYNE CRADDOCK LAT
3208 RAVEN GLEN CT
CHARLOTTE, NC 28212-1509
Phone number: 704-576-7785
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