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1750782652
ANNA MIELKE
MANITOWOC, WI
NPI
1750782652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1458-39)
Enumeration Date
2014-09-10
Last Update Date
2015-10-01
Business Address
-- ANNA MIELKE LAT, ATC
1650 S 41ST ST
MANITOWOC, WI 54220-7316
Phone number: 920-320-3139
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Mailing Address
-- ANNA MIELKE LAT, ATC
1650 S 41ST ST
MANITOWOC, WI 54220-7316
Phone number: 920-320-3139
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