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Individual

LAURA A HAFENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
1504 MADISON AVE, FORT ATKINSON, WI 53538-3100
(920) 563-9357
Mailing address
N4716 COUNTY ROAD G, LAKE MILLS, WI 53551-9621
(920) 728-0816

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3080
WI

Other

Enumeration date
01/19/2023
Last updated
01/19/2023
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