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1275930505
ROD JOSEPH
PEWAUKEE, WI
NPI
1275930505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 001622-1)
Enumeration Date
2014-12-02
Last Update Date
2018-03-17
Business Address
ROD JOSEPH
285 FOREST GROVE DR STE 207
PEWAUKEE, WI 53072-3738
Phone number: 877-732-2262
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Mailing Address
ROD JOSEPH
285 FOREST GROVE DR STE 207
PEWAUKEE, WI 53072-3738
Phone number: 877-732-2262
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