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1104049402
MYLINDA ROSE BARISAS-MATULA
SHEBOYGAN, WI
NPI
1104049402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 1913-026)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Mrs. MYLINDA ROSE BARISAS-MATULA OT
2629 N 7TH ST
SHEBOYGAN, WI 53083-4932
Phone number: 920-451-5634
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Mailing Address
Mrs. MYLINDA ROSE BARISAS-MATULA OT
417 SAINT CLAIR AVE
SHEBOYGAN, WI 53081-3562
Phone number: 920-451-4651
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