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1063297521
LISA JAIN
MILWAUKEE, WI
NPI
1063297521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 4109-19)
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
LISA JAIN
10101 W WISCONSIN AVE
MILWAUKEE, WI 53226-4861
Phone number: 262-661-9100
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Mailing Address
LISA JAIN
845 GEORGES AVE
BROOKFIELD, WI 53045-6737
Phone number: 262-661-9100
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