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1114122801
MARY P GANTZ
GREEN BAY, WI
NPI
1114122801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 3432)
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
-- MARY P GANTZ PT
2801 S WEBSTER AVE
GREEN BAY, WI 54301-2878
Phone number: 920-337-1122
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Mailing Address
-- MARY P GANTZ PT
2251 MEADOW RIDGE DR
DE PERE, WI 54115-7996
Phone number: 920-338-0721
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