Individual
ANDREA NICOLE BARRIBEAU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
2725 JACKSON ST, OSHKOSH, WI 54901-1513
(920) 420-7358
Mailing address
2725 JACKSON ST, OSHKOSH, WI 54901-1513
(920) 420-7358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
752
WI
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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