COLIN JOHN WAKEMAN

HUNTINGTON, WV
NPI1790371235
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: VA  2000035596)
Enumeration Date2020-12-18
Last Update Date2020-12-18
Business Address
COLIN JOHN WAKEMAN ATC
1 JOHN MARSHALL DR
HUNTINGTON, WV 25755-0002
Phone number: 304-696-3170
Mailing Address
COLIN JOHN WAKEMAN ATC
4406 CORTEZ DR
FAIRFAX, VA 22030-5309
Phone number: 703-586-2968
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