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1134557820
MARYBETH RATHBURN
GREEN BAY, WI
NPI
1134557820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WI 92-154)
Enumeration Date
2013-10-16
Last Update Date
2013-10-16
Business Address
-- MARYBETH RATHBURN MSCCCSP
835 S VAN BUREN ST
GREEN BAY, WI 54301-3526
Phone number: 920-433-8039
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Mailing Address
-- MARYBETH RATHBURN MSCCCSP
3627 FLINTLOCK RD
SUAMICO, WI 54173-7716
Phone number: 920-434-6728
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