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1356732697
BENJAMIN BECKER
MADISON, WI
NPI
1356732697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1075-39)
Enumeration Date
2015-02-09
Last Update Date
2015-02-09
Business Address
-- BENJAMIN BECKER LAT
621 SCIENCE DR
MADISON, WI 53711-1074
Phone number: 608-890-8565
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Mailing Address
-- BENJAMIN BECKER LAT
1427 WILD IRIS ST
SUN PRAIRIE, WI 53590-7040
Phone number:
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