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1568983906
TANNER C FLATLAND
MILWAUKEE, WI
NPI
1568983906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1891)
Enumeration Date
2017-07-06
Last Update Date
2017-07-06
Business Address
TANNER C FLATLAND LAT
3365 S 103RD ST STE 250
MILWAUKEE, WI 53227-4161
Phone number: 414-604-7501
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Mailing Address
TANNER C FLATLAND LAT
2950 CLEARWATER LN APT 202
WAUKESHA, WI 53189-6895
Phone number:
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