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1154710986
MARK ALBERG
BROOKFIELD, WI
NPI
1154710986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 612-39)
Enumeration Date
2015-01-16
Last Update Date
2015-01-16
Business Address
-- MARK ALBERG ATC
2985 SAN JUAN TRL
BROOKFIELD, WI 53005-3709
Phone number: 414-588-9028
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Mailing Address
-- MARK ALBERG ATC
2985 SAN JUAN TRL
BROOKFIELD, WI 53005-3709
Phone number: 414-588-9028
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