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1881765261
TONY CHRISTOPHER HANECA
FARGO, ND
NPI
1881765261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ND 295-04)
Enumeration Date
2006-11-10
Last Update Date
2007-07-08
Business Address
TONY CHRISTOPHER HANECA MED, ATC, CSCS
1840 15TH AVE S
FARGO, ND 58103-3824
Phone number: 701-446-2049
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Mailing Address
TONY CHRISTOPHER HANECA MED, ATC, CSCS
3022 34TH ST S
MOORHEAD, MN 56560-6937
Phone number: 218-359-0723
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