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1700063872
JULIE ANN GLOEDE PHELPS
GREEN BAY, WI
NPI
1700063872
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Former Name
JULIE ANN GLOEDE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 445039)
Enumeration Date
2008-01-30
Last Update Date
2008-01-30
Business Address
Mrs. JULIE ANN GLOEDE PHELPS ATC
1630 COMMANCHE AVE
GREEN BAY, WI 54313-6089
Phone number: 920-430-4738
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Mailing Address
Mrs. JULIE ANN GLOEDE PHELPS ATC
1630 COMMANCHE AVE
GREEN BAY, WI 54313-6089
Phone number: 920-430-4738
Copy
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