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1144331661
LAURE EVCHUK
GREENFIELD, WI
NPI
1144331661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 84-019)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- LAURE EVCHUK PTA
6520 W LAYTON AVE
GREENFIELD, WI 53220-4523
Phone number: 414-282-9590
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Mailing Address
-- LAURE EVCHUK PTA
3965 S KINGAN AVE
MILWAUKEE, WI 53235-4768
Phone number: 414-481-6826
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