STEPHEN BRENT DORENKAMP

WAKE FOREST, NC
NPI1710345202
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  0460)
Enumeration Date2016-01-29
Last Update Date2016-01-29
Business Address
-- STEPHEN BRENT DORENKAMP
3424 COACH LANTERN AVE
WAKE FOREST, NC 27587-4855
Phone number: 919-790-0364
Mailing Address
-- STEPHEN BRENT DORENKAMP
3424 COACH LANTERN AVE
WAKE FOREST, NC 27587-4855
Phone number: 919-790-0364
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