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1881730018
LAMOYNE HAWLEY
KENOSHA, WI
NPI
1881730018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 12-039)
Enumeration Date
2007-01-29
Last Update Date
2023-06-01
Business Address
Mr. LAMOYNE HAWLEY AT,C
10320 75TH ST
KENOSHA, WI 53142-7525
Phone number: 262-697-6143
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Mailing Address
Mr. LAMOYNE HAWLEY AT,C
9984 50TH AVE
PLEASANT PRAIRIE, WI 53158-6530
Phone number: 262-308-6968
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