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1083273437
KASEY A VANDEVOORT
GREEN BAY, WI
NPI
1083273437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 6502-26)
Enumeration Date
2019-06-10
Last Update Date
2019-06-10
Business Address
KASEY A VANDEVOORT
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-7822
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Mailing Address
KASEY A VANDEVOORT
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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