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1083699664
SANDRA RAE FONDOW
GREEN BAY, WI
NPI
1083699664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 10475)
Enumeration Date
2005-12-07
Last Update Date
2019-08-01
Business Address
SANDRA RAE FONDOW PT
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4750
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Mailing Address
SANDRA RAE FONDOW PT
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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