COURTNEY LYNN WAGNER

APPLETON, WI
NPI1023673878
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  1890-39)
Enumeration Date2019-05-07
Last Update Date2024-10-13
Business Address
COURTNEY LYNN WAGNER LAT, ATC
2105 E ENTERPRISE AVE # 113
APPLETON, WI 54913-7862
Phone number: 920-991-2561
Mailing Address
COURTNEY LYNN WAGNER LAT, ATC
N7898 LAKESHORE DR
FOND DU LAC, WI 54937-1647
Phone number: 920-517-6961
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