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1194717637
ANTHONY A KACZKOWSKI
MILWAUKEE, WI
NPI
1194717637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 51-039)
Enumeration Date
2005-08-19
Last Update Date
2007-09-26
Business Address
-- ANTHONY A KACZKOWSKI LAT
625 E SAINT PAUL AVE
MILWAUKEE, WI 53202-5907
Phone number: 414-223-2727
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Mailing Address
-- ANTHONY A KACZKOWSKI LAT
625 E SAINT PAUL AVE
MILWAUKEE, WI 53202-5907
Phone number: 414-223-2727
Copy
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