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1093981623
JENNIFER LYNN BALTHAZOR
GREEN BAY, WI
NPI
1093981623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 4842-24)
Enumeration Date
2008-05-04
Last Update Date
2008-05-04
Business Address
JENNIFER LYNN BALTHAZOR P.T.
2919 SHELTER CREEK CT
GREEN BAY, WI 54313-4549
Phone number: 920-429-0921
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Mailing Address
JENNIFER LYNN BALTHAZOR P.T.
2919 SHELTER CREEK CT
GREEN BAY, WI 54313-4549
Phone number: 920-429-0921
Copy
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