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1114438322
CARL HAYNES
WEST BEND, WI
NPI
1114438322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070021798)
Enumeration Date
2017-10-14
Last Update Date
2017-10-14
Business Address
CARL HAYNES
2130 CONTINENTAL DR
WEST BEND, WI 53095-7904
Phone number: 262-338-0092
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Mailing Address
CARL HAYNES
21 THATCHAM DR APT 13
CHAMPAIGN, IL 61820-2380
Phone number:
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