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1083669352
SEVERINO TAYSON VILLANUEVA
MILWAUKEE, WI
NPI
1083669352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 4975-024)
Enumeration Date
2006-05-24
Last Update Date
2007-07-08
Business Address
Mr. SEVERINO TAYSON VILLANUEVA PT
2323 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-291-1067
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Mailing Address
Mr. SEVERINO TAYSON VILLANUEVA PT
3926 W MINNESOTA AVE
FRANKLIN, WI 53132-8763
Phone number: 414-423-0373
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