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1235124157
ROLAND JOSEPH SCHMIDT
GREEN BAY, WI
NPI
1235124157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 228-039)
Enumeration Date
2005-09-16
Last Update Date
2007-07-08
Business Address
-- ROLAND JOSEPH SCHMIDT LAT/ATC
215 N WEBSTER AVE
GREEN BAY, WI 54301-4813
Phone number: 920-433-3638
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Mailing Address
-- ROLAND JOSEPH SCHMIDT LAT/ATC
408 MAIN ST
WRIGHTSTOWN, WI 54180-1056
Phone number: 920-532-0657
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