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1124526934
JACQUELYN P PETROPOULOS
WAUWATOSA, WI
NPI
1124526934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 221)
Enumeration Date
2018-01-26
Last Update Date
2019-11-06
Business Address
JACQUELYN P PETROPOULOS PTA
2500 N MAYFAIR RD
WAUWATOSA, WI 53226-1409
Phone number: 414-443-1269
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Mailing Address
JACQUELYN P PETROPOULOS PTA
2500 N MAYFAIR RD
WAUWATOSA, WI 53226-1409
Phone number: 414-443-1269
Copy
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