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1124523576
CHRISTOPHER PEROUTKA
MADISON, WI
NPI
1124523576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 2536-39)
Enumeration Date
2018-03-28
Last Update Date
2022-08-24
Business Address
CHRISTOPHER PEROUTKA ATC
1440 MONROE ST
MADISON, WI 53711-2051
Phone number: 608-262-1866
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Mailing Address
CHRISTOPHER PEROUTKA ATC
5316 HERON TRL
MIDDLETON, WI 53562-5215
Phone number: 608-445-3413
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