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1063574085
TIFFANY A JANISCH
LA CROSSE, WI
NPI
1063574085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 1710-027)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
-- TIFFANY A JANISCH
2501 SHELBY RD
LA CROSSE, WI 54601-8037
Phone number: 608-788-5700
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Mailing Address
-- TIFFANY A JANISCH
PO BOX 45
BANGOR, WI 54614-0045
Phone number:
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