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1659839058
JOSEPH WAYNE MAYHAN
MODESTO, CA
NPI
1659839058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-03-05
Last Update Date
2019-03-05
Business Address
JOSEPH WAYNE MAYHAN ATS
2829 PAMPLONA WAY
MODESTO, CA 95354-2016
Phone number: 209-604-4516
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Mailing Address
JOSEPH WAYNE MAYHAN ATS
2829 PAMPLONA WAY
MODESTO, CA 95354-2016
Phone number: 209-604-4516
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