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1821634486
CARL ANTONY
MOUNT PLEASANT, WI
NPI
1821634486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 2011-39)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
CARL ANTONY ATC, LAT
3811 SPRING ST
MOUNT PLEASANT, WI 53405-1667
Phone number: 262-945-3667
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Mailing Address
CARL ANTONY ATC, LAT
3811 SPRING ST
MOUNT PLEASANT, WI 53405-1667
Phone number:
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