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1720018385
SUSAN MARY WIELGOSZ
BROCKPORT, NY
NPI
1720018385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 000027-1)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
-- SUSAN MARY WIELGOSZ ATC
350 NEW CAMPUS DR SUNY COLLEGE AT BROCKPORT
BROCKPORT, NY 14420-2997
Phone number: 585-395-5358
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Mailing Address
-- SUSAN MARY WIELGOSZ ATC
10 TEAROSE MEADOW LN
BROCKPORT, NY 14420-9336
Phone number:
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