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1578077673
PATRICIA WANKUM
MEQUON, WI
NPI
1578077673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-11-28
Last Update Date
2017-11-28
Business Address
PATRICIA WANKUM ATC, LAT
12800 N LAKE SHORE DR
MEQUON, WI 53097-2418
Phone number: 262-243-4537
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Mailing Address
PATRICIA WANKUM ATC, LAT
2305 SW WESTMINSTER DR
LEES SUMMIT, MO 64082-4060
Phone number:
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