ANDREW DEWOLF

BLOOMINGTON, IN
NPI1932504669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  2000014569)
Enumeration Date2014-10-23
Last Update Date2014-10-23
Business Address
-- ANDREW DEWOLF
1025 E 7TH ST
BLOOMINGTON, IN 47405-7109
Phone number: 503-476-6989
Mailing Address
-- ANDREW DEWOLF
1861 S PECAN LN
BLOOMINGTON, IN 47403-3258
Phone number:
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