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1194854620
DENNIS HAEN
APPLETON, WI
NPI
1194854620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
DENNIS HAEN L.A.T.
820 E GRANT ST
APPLETON, WI 54911-3483
Phone number: 920-831-5050
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Mailing Address
DENNIS HAEN L.A.T.
327 COLUMBUS AVE
BRILLION, WI 54110-1049
Phone number:
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