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1407953888
EMILY ANDERSON
WEST BEND, WI
NPI
1407953888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 689-039)
Enumeration Date
2006-09-20
Last Update Date
2020-03-31
Business Address
EMILY ANDERSON LAT
1100 GATEWAY CT
WEST BEND, WI 53095
Phone number: 262-306-6100
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Mailing Address
EMILY ANDERSON LAT
1100 GATEWAY CT
WEST BEND, WI 53095-8539
Phone number: 262-573-5333
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