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1003060658
CANDACE LEIGH PANTOGA
MADISON, WI
NPI
1003060658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 2293-26)
Enumeration Date
2008-11-10
Last Update Date
2008-11-10
Business Address
-- CANDACE LEIGH PANTOGA OTR, MS
3030 CITY VIEW DRIVE CITY VIEW NURSING HOME
MADISON, WI 53718
Phone number: 608-242-5020
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Mailing Address
-- CANDACE LEIGH PANTOGA OTR, MS
504 PINE ST
MADISON, WI 53715-2146
Phone number: 608-250-2538
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