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1699281816
BENTON ROSE
PLATTEVILLE, WI
NPI
1699281816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1309-39)
Enumeration Date
2017-12-26
Last Update Date
2017-12-26
Business Address
BENTON ROSE ATC, LAT, PES
1400 EASTSIDE RD
PLATTEVILLE, WI 53818-9800
Phone number: 608-342-5003
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Mailing Address
BENTON ROSE ATC, LAT, PES
1400 EASTSIDE RD
PLATTEVILLE, WI 53818-9800
Phone number: 608-342-5003
Copy
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