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1902445208
BLAKE CHADWICK
EAU CLAIRE, WI
NPI
1902445208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-01-03
Last Update Date
2020-01-03
Business Address
BLAKE CHADWICK
509 UNIVERSITY DR.
EAU CLAIRE, WI 54701
Phone number: 715-836-4636
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Mailing Address
BLAKE CHADWICK
405 FIELD TERRACE CT
DEFOREST, WI 53532-1799
Phone number: 608-215-6108
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