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1164879300
RICK DVORAK
KENOSHA, WI
NPI
1164879300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WI 1818)
Enumeration Date
2016-05-18
Last Update Date
2016-05-18
Business Address
RICK DVORAK ATC, LAT
2717 18TH ST SUITE 100
KENOSHA, WI 53140-4666
Phone number: 262-551-5650
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Mailing Address
RICK DVORAK ATC, LAT
PO BOX 3497
STURTEVANT, WI 53177-0300
Phone number: 877-552-2996
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