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1144436775
CYNTHIA VIDA KETTER
GREEN BAY, WI
NPI
1144436775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 2595)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
-- CYNTHIA VIDA KETTER physical therapist
1435 W. MASON ST. STE. 104
GREEN BAY, WI 54303
Phone number: 920-737-4135
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Mailing Address
-- CYNTHIA VIDA KETTER physical therapist
618A PAINE ST
KIEL, WI 53042-1042
Phone number:
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