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1093383218
LISA R GAMBLE
BROOKFIELD, WI
NPI
1093383218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 6170-26)
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
LISA R GAMBLE OTR
19395 W CAPITOL DR
BROOKFIELD, WI 53045-2736
Phone number: 262-923-7101
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Mailing Address
LISA R GAMBLE OTR
2809 N 7TH ST
SHEBOYGAN, WI 53083-4246
Phone number: 920-917-5250
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