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1710376322
TRICIA DE SOUZA
MADISON, WI
NPI
1710376322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WI 840-039)
Enumeration Date
2015-01-20
Last Update Date
2015-01-20
Business Address
TRICIA DE SOUZA LAT
1440 MONROE ST
MADISON, WI 53711-2051
Phone number: 608-262-8037
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Mailing Address
TRICIA DE SOUZA LAT
1440 MONROE ST
MADISON, WI 53711-2051
Phone number:
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