KELSON JAMES WANN

PEWAUKEE, WI
NPI1861992570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence:   2000010439)
Enumeration Date2018-02-19
Last Update Date2018-02-19
Business Address
Mr. KELSON JAMES WANN MS, ATC
285 FOREST GROVE DR STE 207
PEWAUKEE, WI 53072-3738
Phone number: 877-732-2262
Mailing Address
Mr. KELSON JAMES WANN MS, ATC
285 FOREST GROVE DR STE 207
PEWAUKEE, WI 53072-3738
Phone number: 877-732-2262
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