JUSTIN A EDGE

FOND DU LAC, WI
NPI1467173880
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2022-09-05
Last Update Date2022-09-05
Business Address
JUSTIN A EDGE ATC
45 S NATIONAL AVE
FOND DU LAC, WI 54935-4621
Phone number: 920-923-8588
Mailing Address
JUSTIN A EDGE ATC
407 HARRISON ST APT 14
NORTH FOND DU LAC, WI 54937-1582
Phone number: 608-444-2911
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