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1639721327
MARCUS THOMA
PEWAUKEE, WI
NPI
1639721327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1687-39)
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
MARCUS THOMA LAT
2900 GOLF RD
PEWAUKEE, WI 53072-5449
Phone number: 608-843-2634
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Mailing Address
MARCUS THOMA LAT
1633 ALDORO DR
WAUKESHA, WI 53188-2227
Phone number:
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