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1194887679
DEREK J BUTLER
MARINETTE, WI
NPI
1194887679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 2255A2300X)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
-- DEREK J BUTLER LAT, ATC
1514 ELIZABETH AVE
MARINETTE, WI 54143-3220
Phone number: 715-735-9433
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Mailing Address
-- DEREK J BUTLER LAT, ATC
1514 ELIZABETH AVE
MARINETTE, WI 54143-3220
Phone number: 715-735-9433
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