DUSTIN BRUCE LANG

GREEN BAY, WI
NPI1952567323
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  977-039)
Enumeration Date2008-08-05
Last Update Date2008-08-05
Business Address
Mr. DUSTIN BRUCE LANG LAT
1630 COMMANCHE AVE
GREEN BAY, WI 54313-6089
Phone number: 920-430-4750
Mailing Address
Mr. DUSTIN BRUCE LANG LAT
1630 COMMANCHE AVE
GREEN BAY, WI 54313-6089
Phone number: 920-430-4750
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