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1881722072
THOMAS PEPPER BURRUSS
GREEN BAY, WI
NPI
1881722072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
Mr. THOMAS PEPPER BURRUSS PT ATC
1265 LOMBARDI AVE
GREEN BAY, WI 54304-3927
Phone number: 920-569-7500
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Mailing Address
Mr. THOMAS PEPPER BURRUSS PT ATC
1265 LOMBARDI AVE
GREEN BAY, WI 54304-3927
Phone number: 920-569-7500
Copy
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