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1215296249
MARIA KOHLWEY
PEWAUKEE, WI
NPI
1215296249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1038-39)
Enumeration Date
2012-05-11
Last Update Date
2015-03-02
Business Address
-- MARIA KOHLWEY LAT
2835 N GRANDVIEW BLVD STE. 100
PEWAUKEE, WI 53072-5546
Phone number: 262-574-5185
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Mailing Address
-- MARIA KOHLWEY LAT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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