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1174647598
JAY MOMINEE
JANESVILLE, WI
NPI
1174647598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 878)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
-- JAY MOMINEE LAT
1000 MINERAL POINT AVE
JANESVILLE, WI 53548-2940
Phone number: 608-756-6000
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Mailing Address
-- JAY MOMINEE LAT
1000 MINERAL POINT AVE
JANESVILLE, WI 53548-2940
Phone number: 608-756-6000
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