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1821217571
MICHAEL A THOMPSON
BROOKFIELD, WI
NPI
1821217571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 271-039)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- MICHAEL A THOMPSON LAT
13825 W BURLEIGH RD
BROOKFIELD, WI 53005-3058
Phone number: 262-754-3446
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Mailing Address
-- MICHAEL A THOMPSON LAT
W351N6018 BAUERS LN
OCONOMOWOC, WI 53066-1818
Phone number: 262-754-3446
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