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1376179101
DAN RUFFNER
KENOSHA, WI
NPI
1376179101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 211-39)
Enumeration Date
2020-03-12
Last Update Date
2020-03-12
Business Address
Mr. DAN RUFFNER LAT, USAW
2001 ALFORD PARK DR
KENOSHA, WI 53140-1994
Phone number: 262-551-5741
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Mailing Address
Mr. DAN RUFFNER LAT, USAW
2001 ALFORD PARK DR
KENOSHA, WI 53140-1994
Phone number: 262-945-8525
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