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1154476141
WADE CHRISTIAN PEITERSEN
OSHKOSH, WI
NPI
1154476141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 125-039)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Mr. WADE CHRISTIAN PEITERSEN LAT
800 ALGOMA BLVD KOLF SPORTS CENTER 169L
OSHKOSH, WI 54901-3551
Phone number: 920-424-7138
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Mailing Address
Mr. WADE CHRISTIAN PEITERSEN LAT
800 ALGOMA BLVD KOLF SPORTS CENTER 169L
OSHKOSH, WI 54901-3551
Phone number: 920-424-7138
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