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1154853836
SAMUEL PARK
MILWAUKEE, WI
NPI
1154853836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 12430)
Enumeration Date
2017-03-31
Last Update Date
2017-03-31
Business Address
-- SAMUEL PARK DPT
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: 414-384-2000
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Mailing Address
-- SAMUEL PARK DPT
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number:
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