JOHN F BANASZAK

MOUNT VERNON, WA
NPI1962576736
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
Mr. JOHN F BANASZAK A.T.C.
314 N 9TH ST
MOUNT VERNON, WA 98273-3327
Phone number: 360-428-6100
Mailing Address
Mr. JOHN F BANASZAK A.T.C.
PO BOX 598
LA CONNER, WA 98257-0598
Phone number: 360-466-9982
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