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1891980504
JASON SCOTT CERKONEY
PORTAGE, WI
NPI
1891980504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 029802400)
Enumeration Date
2007-09-06
Last Update Date
2007-09-06
Business Address
Mr. JASON SCOTT CERKONEY LAT
2817 NEW PINERY RD SUITE 103
PORTAGE, WI 53901-9257
Phone number: 608-745-6290
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Mailing Address
Mr. JASON SCOTT CERKONEY LAT
2817 NEW PINERY RD SUITE 103
PORTAGE, WI 53901-9257
Phone number: 608-745-6290
Copy
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