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1003097825
HAYLEY WALLACE
OSHKOSH, WI
NPI
1003097825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 889)
Enumeration Date
2007-11-20
Last Update Date
2007-11-20
Business Address
-- HAYLEY WALLACE
2725 JACKSON ST
OSHKOSH, WI 54901-1513
Phone number: 920-223-7743
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Mailing Address
-- HAYLEY WALLACE
2725 JACKSON ST
OSHKOSH, WI 54901-1513
Phone number: 920-223-7743
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