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1174543854
TIMOTHY BALLWEG
MADISON, WI
NPI
1174543854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
132700000X Dietary Manager
(Licence: WI 1647)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
-- TIMOTHY BALLWEG RT
675 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number: 608-257-9700
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Mailing Address
-- TIMOTHY BALLWEG RT
1265 JOHN Q HAMMONS DR
MADISON, WI 53717-1941
Phone number: 608-251-4156
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