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1023536877
MARY HELEN WIECZOREK
MILWAUKEE, WI
NPI
1023536877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1420-39)
Enumeration Date
2017-08-31
Last Update Date
2020-06-15
Business Address
MARY HELEN WIECZOREK ATC/LAT
770 N 12TH ST
MILWAUKEE, WI 53233-2203
Phone number: 414-288-0328
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Mailing Address
MARY HELEN WIECZOREK ATC/LAT
4050 S LAKE DR APT 3
ST FRANCIS, WI 53235-5255
Phone number: 414-759-1773
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