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1154738482
LUCAS SOLUM
MILWAUKEE, WI
NPI
1154738482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 898-39)
Enumeration Date
2014-07-18
Last Update Date
2014-07-18
Business Address
Mr. LUCAS SOLUM MS, LAT, CSCS
2335 W MANCHESTER AVE
MILWAUKEE, WI 53221-3413
Phone number: 414-378-4721
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Mailing Address
Mr. LUCAS SOLUM MS, LAT, CSCS
2335 W MANCHESTER AVE
MILWAUKEE, WI 53221-3413
Phone number: 414-378-4721
Copy
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