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1891822375
STEPHEN JAMES NORDWALL
YPSILANTI, MI
NPI
1891822375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Mr. STEPHEN JAMES NORDWALL ATC
799 N. HEWITT ROAD CONVOCATION CENTER - ATHLETIC DEPARTMENT
YPSILANTI, MI 48197
Phone number: 734-487-5183
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Mailing Address
Mr. STEPHEN JAMES NORDWALL ATC
4213 INVERNESS ST
DEXTER, MI 48130-1460
Phone number: 734-904-0711
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