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1376570150
SUSAN KAY LONG
MADISON, WI
NPI
1376570150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 17-039)
Enumeration Date
2006-06-27
Last Update Date
2014-03-30
Business Address
Mrs. SUSAN KAY LONG A.T.C.
621 SCIENCE DR
MADISON, WI 53711-1074
Phone number: 608-262-1292
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Mailing Address
Mrs. SUSAN KAY LONG A.T.C.
N1627 POEPPEL RD
FORT ATKINSON, WI 53538-9329
Phone number: 920-563-0914
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