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1487048989
GARRETT VUCENIC
KENOSHA, WI
NPI
1487048989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-03-23
Last Update Date
2017-02-28
Business Address
-- GARRETT VUCENIC LAT
7610 PERSHING BLVD
KENOSHA, WI 53142-4318
Phone number: 715-296-0132
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Mailing Address
-- GARRETT VUCENIC LAT
5815 5TH AVE APT 415
KENOSHA, WI 53140-4207
Phone number: 715-296-0132
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