TAYLOR LEIGH TASSOUL

PEWAUKEE, WI
NPI1659871812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  1886-39)
Enumeration Date2018-02-14
Last Update Date2018-02-14
Business Address
TAYLOR LEIGH TASSOUL LAT, ATC
285 FOREST GROVE DR STE 207
PEWAUKEE, WI 53072-3738
Phone number: 877-732-2262
Mailing Address
TAYLOR LEIGH TASSOUL LAT, ATC
5969 VALLEY HAVEN CT
LITTLE SUAMICO, WI 54141-8661
Phone number:
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