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1043482714
ROXANNE ELIASON
GREEN BAY, WI
NPI
1043482714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1121-19)
Enumeration Date
2008-04-02
Last Update Date
2008-04-17
Business Address
ROXANNE ELIASON PTA
600 S WEBSTER AVE
GREEN BAY, WI 54301-3503
Phone number: 920-432-3213
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Mailing Address
ROXANNE ELIASON PTA
600 S WEBSTER AVE
GREEN BAY, WI 54301-3503
Phone number: 920-432-3213
Copy
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