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1043941453
JACOB JOHN AGBUIS
MT PLEASANT, WI
NPI
1043941453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2022-06-17
Last Update Date
2022-06-17
Business Address
JACOB JOHN AGBUIS PTA
13203 GLOBE DR STE 111
MT PLEASANT, WI 53177-1616
Phone number: 262-287-0090
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Mailing Address
JACOB JOHN AGBUIS PTA
N98W16431 CONCORD RD
GERMANTOWN, WI 53022-4906
Phone number: 262-370-5706
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