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1639165079
CHAD ALAN CARTER
GREEN BAY, WI
NPI
1639165079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 170039)
Enumeration Date
2005-09-21
Last Update Date
2008-07-07
Business Address
Mr. CHAD ALAN CARTER LAT ATC
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4786
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Mailing Address
Mr. CHAD ALAN CARTER LAT ATC
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Phone number: 920-430-4786
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