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1053974063
DAVID J MANCUSO
MADISON, WI
NPI
1053974063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WI 14162)
Enumeration Date
2019-04-16
Last Update Date
2019-04-16
Business Address
DAVID J MANCUSO LMT
4602 EASTPARK BLVD
MADISON, WI 53718-2002
Phone number: 608-262-9355
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Mailing Address
DAVID J MANCUSO LMT
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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