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1902298235
TRISTAN RODIK
ATLANTA, GA
NPI
1902298235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2014028857)
Enumeration Date
2015-02-24
Last Update Date
2020-01-08
Business Address
TRISTAN RODIK
26 EAGLE ROW NE FL 3
ATLANTA, GA 30322-1512
Phone number: 404-727-6714
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Mailing Address
TRISTAN RODIK
3950 NEWMAN RD
JOPLIN, MO 64801-1512
Phone number:
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