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1245876515
ADAM THOMAS BROGLEY
JANESVILLE, WI
NPI
1245876515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 2211-39)
Enumeration Date
2019-11-21
Last Update Date
2019-11-21
Business Address
Mr. ADAM THOMAS BROGLEY LAT, ATC
1000 MINERAL POINT AVE
JANESVILLE, WI 53548-2940
Phone number: 608-732-9599
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Mailing Address
Mr. ADAM THOMAS BROGLEY LAT, ATC
2901 WOODLANE DR APT 5
JANESVILLE, WI 53545-0280
Phone number: 608-732-9599
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