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1003978966
ANDREA E JONES
GREEN BAY, WI
NPI
1003978966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 794-039)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
-- ANDREA E JONES LAT
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4754
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Mailing Address
-- ANDREA E JONES LAT
520 COMMERCIAL ST APT 5
SEYMOUR, WI 54165-8461
Phone number: 920-517-1086
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