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1912990177
MARIO SCHACKELMAN
MILWAUKEE, WI
NPI
1912990177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 492039)
Enumeration Date
2005-08-23
Last Update Date
2007-07-08
Business Address
-- MARIO SCHACKELMAN LAT
625 E SAINT PAUL AVE
MILWAUKEE, WI 53202-5907
Phone number: 414-223-2727
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Mailing Address
-- MARIO SCHACKELMAN LAT
625 E SAINT PAUL AVE
MILWAUKEE, WI 53202-5907
Phone number: 414-223-2727
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