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1619905767
J. NATHAN WILDER
TOWSON, MD
NPI
1619905767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MD A0000281)
Enumeration Date
2006-06-29
Last Update Date
2012-01-06
Business Address
Mr. J. NATHAN WILDER MS, ATC, CSCS
8000 YORK RD
TOWSON, MD 21252-0001
Phone number: 410-704-5224
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Mailing Address
Mr. J. NATHAN WILDER MS, ATC, CSCS
2931 LOMOND PL
ABINGDON, MD 21009-2675
Phone number: 410-967-8017
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