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1487110987
JOHANNA ROSE POOLE
STEVENS POINT, WI
NPI
1487110987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
JOHANNA ROSE POOLE
2050 4TH AVE
STEVENS POINT, WI 54481-1910
Phone number: 262-689-0073
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Mailing Address
JOHANNA ROSE POOLE
2050 4TH AVE
STEVENS POINT, WI 54481-1910
Phone number: 262-689-0073
Copy
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