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1174836456
JEFFERY CORDELL BANKS
EAU CLAIRE, WI
NPI
1174836456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WI 190-39)
Enumeration Date
2010-07-15
Last Update Date
2013-11-01
Business Address
JEFFERY CORDELL BANKS LAT
2116 CRAIG RD
EAU CLAIRE, WI 54701-6149
Phone number: 715-858-4500
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Mailing Address
JEFFERY CORDELL BANKS LAT
1000 N OAK AVE
MARSHFIELD, WI 54449-5703
Phone number: 715-387-5511
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