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1932716784
HEIDI BOHL
APPLETON, WI
NPI
1932716784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-09-25
Last Update Date
2020-09-25
Business Address
HEIDI BOHL LAT
2105 E ENTERPRISE AVE STE 113
APPLETON, WI 54913-7862
Phone number: 920-991-2561
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Mailing Address
HEIDI BOHL LAT
W6826 COUNTY ROAD O
HORTONVILLE, WI 54944-9742
Phone number: 920-740-8520
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