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1053933051
MARISA CAPOBIANCO
MOUNT PLEASANT, WI
NPI
1053933051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2020-05-12
Last Update Date
2020-05-12
Business Address
MISS MARISA CAPOBIANCO OTR/L
1320 S GREEN BAY RD # 3700
MOUNT PLEASANT, WI 53406-4402
Phone number: 262-886-3431
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Mailing Address
MISS MARISA CAPOBIANCO OTR/L
4822 41ST ST
KENOSHA, WI 53144-1824
Phone number: 262-515-6098
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