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1093835654
JEFFREY WIECZOREK
OAK CREEK, WI
NPI
1093835654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 2061-026)
Enumeration Date
2007-03-29
Last Update Date
2015-11-03
Business Address
-- JEFFREY WIECZOREK O.T.
8619 S HOWELL AVE
OAK CREEK, WI 53154-2919
Phone number: 414-856-1888
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Mailing Address
-- JEFFREY WIECZOREK O.T.
8619 S HOWELL AVE
OAK CREEK, WI 53154-2919
Phone number: 414-856-1888
Copy
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