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1790758951
ANDRE DANIEL
MILWAUKEE, WI
NPI
1790758951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-02-08
Last Update Date
2007-07-08
Business Address
Mr. ANDRE DANIEL ATC, CSCS, NASM-PES
3501 S LAKE DR
MILWAUKEE, WI 53235-0900
Phone number: 414-294-4900
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Mailing Address
Mr. ANDRE DANIEL ATC, CSCS, NASM-PES
8961 S CHICAGO RD
OAK CREEK, WI 53154-4249
Phone number: 414-559-6680
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