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1417593880
RYAN PAUL SOWKA
BURLINGTON, WI
NPI
1417593880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-11-20
Last Update Date
2019-11-20
Business Address
Mr. RYAN PAUL SOWKA
125 E STATE ST
BURLINGTON, WI 53105-1915
Phone number: 262-903-7012
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Mailing Address
Mr. RYAN PAUL SOWKA
189 LEWIS ST APT 1
ELKHORN, WI 53121-1968
Phone number: 262-725-2737
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