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1124418033
MELANY A KORNOWSKE
GREEN BAY, WI
NPI
1124418033
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Former Name
MELANY A VANDEN LANGENBERG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 5638 - 26)
Enumeration Date
2015-01-29
Last Update Date
2018-08-31
Business Address
MELANY A KORNOWSKE OT
744 S WEBSTER AVE
GREEN BAY, WI 54301
Phone number: 920-433-3500
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Mailing Address
MELANY A KORNOWSKE OT
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 924-445-7222
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