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1013111012
ADAM KUPIETZ
BURLINGTON, WI
NPI
1013111012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1133-019)
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
ADAM KUPIETZ PTA
252 MCHENRY ST
BURLINGTON, WI 53105-1828
Phone number: 262-763-2411
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Mailing Address
ADAM KUPIETZ PTA
252 MCHENRY ST
BURLINGTON, WI 53105-1828
Phone number:
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