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1518927623
MARIA JEAN GOTTA
MADISON, WI
NPI
1518927623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 771 - 39)
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
-- MARIA JEAN GOTTA ATC
621 SCIENCE DR
MADISON, WI 53711-1074
Phone number: 608-437-2400
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Mailing Address
-- MARIA JEAN GOTTA ATC
7329 TIMBER LAKE TRL #302
MADISON, WI 53719-3714
Phone number: 715-321-0616
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