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1407821168
MELISSA ANNETTE GERING
GREEN BAY, WI
NPI
1407821168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 84-039)
Enumeration Date
2006-02-17
Last Update Date
2007-07-08
Business Address
-- MELISSA ANNETTE GERING ATC
760 PILGRIM WAY
GREEN BAY, WI 54304-5263
Phone number: 920-496-4750
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Mailing Address
-- MELISSA ANNETTE GERING ATC
3509 WESTPOINT RD
GREEN BAY, WI 54313-7936
Phone number: 920-662-1313
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