Individual
NICOLE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 S MAIN ST, VIROQUA, WI 54665-2100
(608) 637-4385
Mailing address
507 S MAIN ST, VIROQUA, WI 54665-2059
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
358-39
WI
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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