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1083150957
SADIE BUBOLTZ-DUBS
GREEN BAY, WI
NPI
1083150957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1482-39)
Enumeration Date
2017-01-16
Last Update Date
2020-04-30
Business Address
SADIE BUBOLTZ-DUBS DAT, LAT, ATC
2420 NICOLET DR
GREEN BAY, WI 54311-7003
Phone number: 920-377-1544
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Mailing Address
SADIE BUBOLTZ-DUBS DAT, LAT, ATC
1348 GEORGE ST
DE PERE, WI 54115-3527
Phone number: 920-377-1544
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