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1932250826
LAURA BETH KOSS
MILWAUKEE, WI
NPI
1932250826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 757-039)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
-- LAURA BETH KOSS LAT
945 N 12TH ST
MILWAUKEE, WI 53233-1305
Phone number: 414-219-7776
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Mailing Address
-- LAURA BETH KOSS LAT
10144 W VIENNA AVE
WAUWATOSA, WI 53222-2353
Phone number: 414-219-7776
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