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1700493780
MICHAEL MARTIN
PLATTEVILLE, WI
NPI
1700493780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1663-39)
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
MICHAEL MARTIN LAT ATC
1 UNIVERSITY PLZ
PLATTEVILLE, WI 53818-3001
Phone number: 608-342-6015
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Mailing Address
MICHAEL MARTIN LAT ATC
1 UNIVERSITY PLZ
PLATTEVILLE, WI 53818-3001
Phone number:
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