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1467509182
MICHAEL MOLL
MADISON, WI
NPI
1467509182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 182-039)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL MOLL LAT
1440 MONROE ST
MADISON, WI 53711-2051
Phone number: 608-262-8040
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Mailing Address
Mr. MICHAEL MOLL LAT
1440 MONROE ST
MADISON, WI 53711-2051
Phone number: 608-262-8040
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