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1902974868
JEFFREY JAMES BARNES
OSHKOSH, WI
NPI
1902974868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WI 39-039)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
JEFFREY JAMES BARNES ATC, LAT, CSCS
855 N WESTHAVEN DR
OSHKOSH, WI 54904-7668
Phone number: 920-456-7100
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Mailing Address
JEFFREY JAMES BARNES ATC, LAT, CSCS
694 S MARR ST
FOND DU LAC, WI 54935-5853
Phone number: 920-921-6587
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