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1316278518
KYLE RALPH RABUCK
MANITOWOC, WI
NPI
1316278518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1072-039)
Enumeration Date
2010-01-27
Last Update Date
2010-01-27
Business Address
-- KYLE RALPH RABUCK ATC, LAT
1650 S 41ST ST
MANITOWOC, WI 54220-7316
Phone number: 920-320-3139
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Mailing Address
-- KYLE RALPH RABUCK ATC, LAT
2220 E PLANK RD UNIT C
APPLETON, WI 54915-7506
Phone number: 262-305-1521
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