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1295960821
BETHANY HANNON
MANITOWOC, WI
NPI
1295960821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 745-039)
Enumeration Date
2009-05-27
Last Update Date
2009-05-27
Business Address
-- BETHANY HANNON MA, LAT
1650 S 41ST ST
MANITOWOC, WI 54220-7316
Phone number: 920-320-3128
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Mailing Address
-- BETHANY HANNON MA, LAT
1650 S 41ST ST
MANITOWOC, WI 54220-7316
Phone number:
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