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1053066597
DAVAN S FLEMING
APPLETON, WI
NPI
1053066597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-02-14
Last Update Date
2022-07-26
Business Address
DAVAN S FLEMING
2121 E EMMERS DR
APPLETON, WI 54915-3802
Phone number: 920-832-6212
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Mailing Address
DAVAN S FLEMING
1050 COUNTY ROAD QQ APT 14
WAUPACA, WI 54981-8620
Phone number: 920-400-2265
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