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1083303788
THEODORE AZAR
KENOSHA, WI
NPI
1083303788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 16267-24)
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
THEODORE AZAR
3535 30TH AVE STE 101
KENOSHA, WI 53144-1632
Phone number: 262-657-7071
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Mailing Address
THEODORE AZAR
3535 30TH AVE STE 101
KENOSHA, WI 53144-1632
Phone number: 262-657-7071
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