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1659778314
PHILLIP OBLAK
MILWAUKEE, WI
NPI
1659778314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1569-39)
Enumeration Date
2014-11-24
Last Update Date
2014-11-24
Business Address
Mr. PHILLIP OBLAK LAT
4600 W FILLMORE DR
MILWAUKEE, WI 53219-2360
Phone number: 760-368-7993
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Mailing Address
Mr. PHILLIP OBLAK LAT
4600 W FILLMORE DR
MILWAUKEE, WI 53219-2360
Phone number: 760-368-7993
Copy
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