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1114090628
KRISTOPHER KARL HARTZ
WAUKESHA, WI
NPI
1114090628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 175-039)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
-- KRISTOPHER KARL HARTZ ATC
100 N EAST AVE
WAUKESHA, WI 53186-3103
Phone number: 262-524-7701
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Mailing Address
-- KRISTOPHER KARL HARTZ ATC
2218 S MOUND ST
MILWAUKEE, WI 53207-1334
Phone number: 414-483-0588
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