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1407355498
KAYLA A HUERTA
PEWAUKEE, WI
NPI
1407355498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1721-39)
Enumeration Date
2018-02-06
Last Update Date
2018-02-06
Business Address
KAYLA A HUERTA LAT, ATC
285 FOREST GROVE DR STE 207
PEWAUKEE, WI 53072-3738
Phone number: 877-732-2262
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Mailing Address
KAYLA A HUERTA LAT, ATC
700 W ROCK PLACE
GLENDALE, WI 53209
Phone number:
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