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1629066451
TERRY ROBERT BEECK
GREEN BAY, WI
NPI
1629066451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 192-039)
Enumeration Date
2005-10-06
Last Update Date
2007-07-08
Business Address
Mr. TERRY ROBERT BEECK LAT/ATC
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4750
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Mailing Address
Mr. TERRY ROBERT BEECK LAT/ATC
805 JORDAN RD
DE PERE, WI 54115-3206
Phone number: 920-339-5167
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