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Individual

CRAIG STEPHEN WAINWRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC-LAT

Contact information

Practice address
3385 DEXTER CT STE 301, DAVENPORT, IA 52807-3471
(563) 344-6645
(563) 441-7796
Mailing address
3385 DEXTER CT STE 301, DAVENPORT, IA 52807-3471
(563) 344-6645
(563) 441-7796

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00323
IA

Other

Enumeration date
09/19/2008
Last updated
09/19/2008
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