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1831699057
DAVID A STAHLKE
GREEN BAY, WI
NPI
1831699057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 518-39)
Enumeration Date
2018-02-14
Last Update Date
2018-02-14
Business Address
Mr. DAVID A STAHLKE MS, LAT, CSCs
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-288-5400
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Mailing Address
Mr. DAVID A STAHLKE MS, LAT, CSCs
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-288-8540
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