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1205957552
TOBY SCOTT NICHOLSON
WATERTOWN, WI
NPI
1205957552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 586-039)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
-- TOBY SCOTT NICHOLSON A.T.C.
125 HOSPITAL DR
WATERTOWN, WI 53098-3303
Phone number: 920-262-4220
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Mailing Address
-- TOBY SCOTT NICHOLSON A.T.C.
832 WILD ROSE WAY
WATERTOWN, WI 53094-7707
Phone number: 920-261-1992
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