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1205828613
JAMES TEWELES SHLIMOVITZ
BARABOO, WI
NPI
1205828613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 43-039)
Enumeration Date
2005-08-22
Last Update Date
2015-09-24
Business Address
Mr. JAMES TEWELES SHLIMOVITZ LAT
707 14TH ST
BARABOO, WI 53913-1539
Phone number: 608-356-1478
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Mailing Address
Mr. JAMES TEWELES SHLIMOVITZ LAT
515 OAKRIDGE DR
PORTAGE, WI 53901-1219
Phone number: 608-742-8470
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