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1679317804
MCKENNA L ENGEBOSE
GREEN BAY, WI
NPI
1679317804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2024-06-21
Last Update Date
2024-06-21
Business Address
MCKENNA L ENGEBOSE
1970 S RIDGE RD
GREEN BAY, WI 54304-4125
Phone number: 920-430-4888
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Mailing Address
MCKENNA L ENGEBOSE
1646 LEDVINA ST
GREEN BAY, WI 54313-5323
Phone number:
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