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1144045303
BRYANT LEE PHILLIP VANROSSEM
STEVENS POINT, WI
NPI
1144045303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2024-11-21
Last Update Date
2024-11-21
Business Address
BRYANT LEE PHILLIP VANROSSEM
2100 MAIN ST
STEVENS POINT, WI 54481-3871
Phone number: 715-346-2922
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Mailing Address
BRYANT LEE PHILLIP VANROSSEM
1695 WILLOW SPRINGS DR
STEVENS POINT, WI 54482-8717
Phone number: 715-340-1367
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