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1013308030
LISA VANHOOSE
MILWAUKEE, WI
NPI
1013308030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1290)
Enumeration Date
2015-02-12
Last Update Date
2015-02-12
Business Address
-- LISA VANHOOSE ATC, LAT
1026 E PLEASANT ST APT 309
MILWAUKEE, WI 53202-2175
Phone number: 616-894-5240
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Mailing Address
-- LISA VANHOOSE ATC, LAT
1026 E PLEASANT #309
MILWAUKEE, WI 53202
Phone number: 616-894-5240
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