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1154058477
BAILEY R DIERSEN
GREEN BAY, WI
NPI
1154058477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 15940)
Enumeration Date
2022-08-05
Last Update Date
2024-05-23
Business Address
BAILEY R DIERSEN PT
1207 S JACKSON ST
GREEN BAY, WI 54301-3037
Phone number: 920-593-7000
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Mailing Address
BAILEY R DIERSEN PT
N514 WILLOWCREST CT
APPLETON, WI 54915-5701
Phone number: 920-202-6756
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