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1073951091
DEB SWIM
GREEN BAY, WI
NPI
1073951091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: 142058)
Enumeration Date
2013-06-12
Last Update Date
2013-06-12
Business Address
-- DEB SWIM CST/CSFA
1715 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-496-4700
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Mailing Address
-- DEB SWIM CST/CSFA
1715 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-496-4700
Copy
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