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1952812372
JAKE RATHSACK
OSHKOSH, WI
NPI
1952812372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 2055)
Enumeration Date
2017-10-12
Last Update Date
2020-06-26
Business Address
JAKE RATHSACK
712 ELMWOOD AVE
OSHKOSH, WI 54901-3517
Phone number: 920-629-8583
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Mailing Address
JAKE RATHSACK
3321 KIMBERLY CIR
MANITOWOC, WI 54220-1297
Phone number:
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