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1558377515
KURT ALAN FIELDING
GREEN BAY, WI
NPI
1558377515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 372-039)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Mr. KURT ALAN FIELDING ATC
1265 LOMBARDI AVE
GREEN BAY, WI 54304-3927
Phone number: 920-569-7871
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Mailing Address
Mr. KURT ALAN FIELDING ATC
1265 LOMBARDI AVE
GREEN BAY, WI 54304-3927
Phone number: 920-569-7871
Copy
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