JAMES R BEVERSDORF

GREEN BAY, WI
NPI1073508743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  24-039)
Enumeration Date2005-09-19
Last Update Date2007-07-08
Business Address
-- JAMES R BEVERSDORF LAT, CSCS, PES
215 N WEBSTER AVE
GREEN BAY, WI 54301-4813
Phone number: 920-430-4750
Mailing Address
-- JAMES R BEVERSDORF LAT, CSCS, PES
1330 PACKERLAND DR APT. B-3
GREEN BAY, WI 54304-1388
Phone number: 920-405-0872
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