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1992140925
MICHELLE WOODS
BEAVER DAM, WI
NPI
1992140925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1245-039)
Enumeration Date
2013-05-03
Last Update Date
2014-09-04
Business Address
-- MICHELLE WOODS LAT
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916-3027
Phone number: 920-219-4009
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Mailing Address
-- MICHELLE WOODS LAT
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916-3027
Phone number: 920-219-4009
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