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1114251584
PENNY M HOLMES
MONROE, WI
NPI
1114251584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1614-019)
Enumeration Date
2009-10-01
Last Update Date
2009-10-01
Business Address
Mrs. PENNY M HOLMES PTA
1905 5TH ST
MONROE, WI 53203-2903
Phone number: 608-329-6601
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Mailing Address
Mrs. PENNY M HOLMES PTA
1905 5TH ST
MONROE, WI 53203-2903
Phone number: 608-329-6601
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