BEETHOVEN CARABACAN

WAUKESHA, WI
NPI1760448617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  657-039)
Enumeration Date2006-04-20
Last Update Date2007-07-08
Business Address
Mr. BEETHOVEN CARABACAN LAT, CSCS, BS, MS
1111 DELAFIELD ST SUITE 15
WAUKESHA, WI 53188-3417
Phone number: 262-521-9762
Mailing Address
Mr. BEETHOVEN CARABACAN LAT, CSCS, BS, MS
1300 N 116TH ST APT. 3
WAUWATOSA, WI 53226-3262
Phone number: 414-324-4172
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