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1154935195
JOSEPH WISNIEWSKI
MODESTO, CA
NPI
1154935195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 298859)
Enumeration Date
2020-09-08
Last Update Date
2020-09-08
Business Address
JOSEPH WISNIEWSKI DPT
3609 OAKDALE RD STE 3
MODESTO, CA 95357-0718
Phone number: 209-312-9591
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Mailing Address
JOSEPH WISNIEWSKI DPT
220 STANDIFORD AVE STE F
MODESTO, CA 95350-1159
Phone number: 209-579-5628
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