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1265146716
TY KRISTOFER MICHALOWSKI
WAUKESHA, WI
NPI
1265146716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 3044-39)
Enumeration Date
2023-01-10
Last Update Date
2023-01-10
Business Address
TY KRISTOFER MICHALOWSKI ATC
114 HINMAN AVE
WAUKESHA, WI 53186-6003
Phone number: 970-409-8321
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Mailing Address
TY KRISTOFER MICHALOWSKI ATC
114 HINMAN AVE
WAUKESHA, WI 53186-6003
Phone number: 970-409-8321
Copy
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