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1063620987
DENNIS LEE BOSTWICK
BEAVER DAM, WI
NPI
1063620987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 1662-024)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
MR. DENNIS LEE BOSTWICK P.T.
118 MONROE ST
BEAVER DAM, WI 53916-2437
Phone number: 920-887-1001
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Mailing Address
MR. DENNIS LEE BOSTWICK P.T.
118 MONROE ST
BEAVER DAM, WI 53916-2437
Phone number: 920-887-1001
Copy
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