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1730934050
WADE ANDERSON
WESTLAKE VILLAGE, CA
NPI
1730934050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2024-04-19
Last Update Date
2024-04-19
Business Address
Mr. WADE ANDERSON ATC
31749 LA TIENDA RD
WESTLAKE VILLAGE, CA 91362-4010
Phone number: 818-575-9277
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Mailing Address
Mr. WADE ANDERSON ATC
31749 LA TIENDA RD
WESTLAKE VILLAGE, CA 91362-4010
Phone number: 818-575-9277
Copy
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