KATHERINE LIESENER

MEQUON, WI
NPI1669850822
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  681-039)
Enumeration Date2015-05-08
Last Update Date2015-05-08
Business Address
-- KATHERINE LIESENER ATC
12800 N LAKE SHORE DR
MEQUON, WI 53097-2418
Phone number: 262-243-4338
Mailing Address
-- KATHERINE LIESENER ATC
12800 N LAKE SHORE DR
MEQUON, WI 53097-2418
Phone number:
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