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1689173932
JASON WENTWORTH
BROCKPORT, NY
NPI
1689173932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-02-01
Last Update Date
2018-02-01
Business Address
JASON WENTWORTH ATC, CSCS
40 ALLEN ST
BROCKPORT, NY 14420
Phone number: 585-637-5303
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Mailing Address
JASON WENTWORTH ATC, CSCS
40 ALLEN ST
BROCKPORT, NY 14420-2228
Phone number:
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