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1861534232
STACI MARIE GRUENKE
GREEN BAY, WI
NPI
1861534232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 670-039)
Enumeration Date
2007-02-13
Last Update Date
2016-09-01
Business Address
-- STACI MARIE GRUENKE MS, LAT, CSCS
1160 KEPLER DR
GREEN BAY, WI 54311-8321
Phone number: 920-288-5482
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Mailing Address
-- STACI MARIE GRUENKE MS, LAT, CSCS
1160 KEPLER DR
GREEN BAY, WI 54311-8321
Phone number:
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