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1134121858
JEFFREY S JETER
APPLETON, WI
NPI
1134121858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 4557)
Enumeration Date
2005-08-12
Last Update Date
2008-07-18
Business Address
Mr. JEFFREY S JETER PT
2105 E ENTERPRISE AVE # 113 ADVANCED PHYSICAL THERAPY
APPLETON, WI 54913-7862
Phone number: 920-991-2561
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Mailing Address
Mr. JEFFREY S JETER PT
2105 E ENTERPRISE AVE # 113 ADVANCED PHYSICAL THERAPY
APPLETON, WI 54913-7862
Phone number: 920-991-2561
Copy
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