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1013134105
BETTY MARIE SPEAR
GREEN BAY, WI
NPI
1013134105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 104019)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
-- BETTY MARIE SPEAR PTA
2801 S WEBSTER AVE
GREEN BAY, WI 54301-2878
Phone number: 920-403-7665
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Mailing Address
-- BETTY MARIE SPEAR PTA
2801 S WEBSTER AVE
GREEN BAY, WI 54301-2878
Phone number: 920-403-7665
Copy
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