DILLON JOHN FASSE

MENOMONEE FALLS, WI
NPI1003357005
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  1929-39)
Enumeration Date2017-03-10
Last Update Date2017-03-10
Business Address
Mr. DILLON JOHN FASSE LAT, ATC
W156N9000 PILGRIM RD
MENOMONEE FALLS, WI 53051-2272
Phone number: 262-502-8752
Mailing Address
Mr. DILLON JOHN FASSE LAT, ATC
W290S4827 PARKE LN W
WAUKESHA, WI 53189-9047
Phone number: 262-391-7952
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