JACLYN SULLIVAN

GREEN BAY, WI
NPI1992423867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  244739)
Enumeration Date2022-08-17
Last Update Date2022-08-17
Business Address
JACLYN SULLIVAN LAT
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-3500
Mailing Address
JACLYN SULLIVAN LAT
2319 S HORIZON DR
APPLETON, WI 54915-5847
Phone number: 920-609-3314
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