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1083772529
EDWARD V VAN DEWATER
MOUNT PLEASANT, WI
NPI
1083772529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 9822-024)
Enumeration Date
2006-12-05
Last Update Date
2021-11-21
Business Address
Mr. EDWARD V VAN DEWATER MPT CSCS
6222 WASHINGTON AVE
MOUNT PLEASANT, WI 53406-3948
Phone number: 262-884-6418
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Mailing Address
Mr. EDWARD V VAN DEWATER MPT CSCS
6222 WASHINGTON AVE
MOUNT PLEASANT, WI 53406-3948
Phone number: 262-884-6418
Copy
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