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1619524071
ELLA CAIT HUSOM
MADISON, WI
NPI
1619524071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1065-39)
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
ELLA CAIT HUSOM
4602 EASTPARK BLVD
MADISON, WI 53718-2002
Phone number: 608-712-7808
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Mailing Address
ELLA CAIT HUSOM
706 N STAR DR
MADISON, WI 53718-3070
Phone number:
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