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Individual

ELYSE JOY MIDAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5543 W ARROYO CT, JANESVILLE, WI 53545-8953
(231) 420-9813
Mailing address
5543 W ARROYO CT, JANESVILLE, WI 53545-8953

Taxonomy

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

Other

Enumeration date
07/26/2017
Last updated
07/26/2017
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