JONAH BINGHAM KING LOTTIG

VIROQUA, WI
NPI1356619647
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Y00000X Clinical Exercise Physiologist
Enumeration Date2011-12-01
Last Update Date2011-12-01
Business Address
Mr. JONAH BINGHAM KING LOTTIG MS RCEP
507 S MAIN ST
VIROQUA, WI 54665-2059
Phone number: 608-637-2101
Mailing Address
Mr. JONAH BINGHAM KING LOTTIG MS RCEP
507 S MAIN ST
VIROQUA, WI 54665-2059
Phone number: 608-637-2101
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