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1972019727
MICHAEL WAYNE HILLIARD
MOORHEAD, MN
NPI
1972019727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2826)
Enumeration Date
2017-12-15
Last Update Date
2018-03-14
Business Address
MICHAEL WAYNE HILLIARD ATC
649 17TH ST S
MOORHEAD, MN 56560
Phone number: 360-751-9904
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Mailing Address
MICHAEL WAYNE HILLIARD ATC
649 17TH ST S
MOORHEAD, MN 56560
Phone number:
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