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1215719075
MARC VIERGUTZ
APPLETON, WI
NPI
1215719075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 2545)
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
MARC VIERGUTZ
1100 E SOUTH RIVER ST
APPLETON, WI 54915-2222
Phone number: 920-832-6760
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Mailing Address
MARC VIERGUTZ
W6607 E MIDWAY RD APT 88
APPLETON, WI 54915-4867
Phone number: 303-248-6821
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