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1013049402
AMY BEYER
PEWAUKEE, WI
NPI
1013049402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 305-039)
Enumeration Date
2007-03-12
Last Update Date
2007-07-24
Business Address
-- AMY BEYER LAT, WCMT
21140 W CAPITOL DR SUITE 4
PEWAUKEE, WI 53072-2953
Phone number: 262-754-1650
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Mailing Address
-- AMY BEYER LAT, WCMT
21140 W CAPITOL DR SUITE 4
PEWAUKEE, WI 53072-2953
Phone number: 262-754-1650
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