ANGELA YVONNE PUCHALLA

GREEN BAY, WI
NPI1114917580
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  549-039)
Enumeration Date2005-10-26
Last Update Date2007-07-08
Business Address
-- ANGELA YVONNE PUCHALLA LAT, ATC
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-655-3005
Mailing Address
-- ANGELA YVONNE PUCHALLA LAT, ATC
1445 CARROLL AVE
GREEN BAY, WI 54304-3412
Phone number:
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