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1467062208
CARLI MEGAN TEBO
GREEN BAY, WI
NPI
1467062208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 2308-39)
Enumeration Date
2020-08-06
Last Update Date
2020-08-06
Business Address
CARLI MEGAN TEBO LAT
1970 S RIDGE RD
GREEN BAY, WI 54304-4125
Phone number: 920-559-9013
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Mailing Address
CARLI MEGAN TEBO LAT
4143 GEMSTONE TRL
BELLEVUE, WI 54311-9007
Phone number: 920-559-9013
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