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1588896278
DANIELLE DESERANO
LA CROSSE, WI
NPI
1588896278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2009-08-14
Last Update Date
2009-08-14
Business Address
DANIELLE DESERANO ATC
1725 STATE ST
LA CROSSE, WI 54601-3742
Phone number: 319-610-2072
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Mailing Address
DANIELLE DESERANO ATC
400 BUCHNER PL APT 222
LA CROSSE, WI 54603-3186
Phone number: 319-610-2072
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