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1225537129
MARK JOSEPH SNIADECKI
PEWAUKEE, WI
NPI
1225537129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 286-39)
Enumeration Date
2018-02-06
Last Update Date
2018-02-06
Business Address
Mr. MARK JOSEPH SNIADECKI LAT
285 FOREST GROVE DR
PEWAUKEE, WI 53072-3782
Phone number: 877-732-2262
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Mailing Address
Mr. MARK JOSEPH SNIADECKI LAT
PO BOX 250
PEWAUKEE, WI 53072-0250
Phone number:
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