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1922442128
GENAVIEVE MIRR
EAU CLAIRE, WI
NPI
1922442128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1116-39)
Enumeration Date
2013-04-18
Last Update Date
2014-01-15
Business Address
-- GENAVIEVE MIRR ATC
2116 CRAIG RD
EAU CLAIRE, WI 54701-6149
Phone number: 715-858-4500
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Mailing Address
-- GENAVIEVE MIRR ATC
2116 CRAIG RD
EAU CLAIRE, WI 54701-6149
Phone number:
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