COREY WENCL

FOND DU LAC, WI
NPI1750799482
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WI  819-39)
Enumeration Date2014-07-25
Last Update Date2014-07-29
Business Address
COREY WENCL LAT
421 CAMELOT DR
FOND DU LAC, WI 54935-8335
Phone number: 920-926-8061
Mailing Address
COREY WENCL LAT
414 WALKER ST
FOND DU LAC, WI 54935-4863
Phone number: 920-602-6935
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