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1932504669
ANDREW DEWOLF
BLOOMINGTON, IN
NPI
1932504669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OR 2000014569)
Enumeration Date
2014-10-23
Last Update Date
2014-10-23
Business Address
ANDREW DEWOLF
1025 E 7TH ST
BLOOMINGTON, IN 47405-7109
Phone number: 503-476-6989
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Mailing Address
ANDREW DEWOLF
1861 S PECAN LN
BLOOMINGTON, IN 47403-3258
Phone number:
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