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1942600804
ELIAS WANGAARD
GARDENDALE, AL
NPI
1942600804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 1012)
Enumeration Date
2014-08-28
Last Update Date
2014-08-28
Business Address
Mr. ELIAS WANGAARD ATC
592 FIELDSTOWN RD 116
GARDENDALE, AL 35071-3414
Phone number: 205-608-3606
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Mailing Address
Mr. ELIAS WANGAARD ATC
592 FIELDSTOWN RD 116
GARDENDALE, AL 35071-3414
Phone number: 205-608-3606
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