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1124057823
GRETA ELLEN LONGREEN
MILWAUKEE, WI
NPI
1124057823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 837019)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
Ms. GRETA ELLEN LONGREEN PTA
2323 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-291-1066
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Mailing Address
Ms. GRETA ELLEN LONGREEN PTA
2323 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-291-1066
Copy
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