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1205225828
JEFFREY WALTER
MILWAUKEE, WI
NPI
1205225828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1048-39)
Enumeration Date
2015-01-20
Last Update Date
2020-08-13
Business Address
JEFFREY WALTER LAT, ATC
8700 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3595
Phone number: 414-805-7111
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Mailing Address
JEFFREY WALTER LAT, ATC
1180 FAIRLANE AVE
BROOKFIELD, WI 53005-7004
Phone number:
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