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1720543226
ADAM SHORT
BARABOO, WI
NPI
1720543226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 3337226)
Enumeration Date
2019-02-08
Last Update Date
2019-02-08
Business Address
ADAM SHORT
727 8TH ST
BARABOO, WI 53913-1794
Phone number: 608-477-8364
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Mailing Address
ADAM SHORT
727 8TH ST
BARABOO, WI 53913-1794
Phone number:
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