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1164459970
MICHAEL MACCLARENCE BASHFORD
MILWAUKEE, WI
NPI
1164459970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 1376024)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
Mrs. MICHAEL MACCLARENCE BASHFORD PT
2025 E NEWPORT AVE
MILWAUKEE, WI 53211-2906
Phone number: 414-298-6798
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Mailing Address
Mrs. MICHAEL MACCLARENCE BASHFORD PT
1153 E SYLVAN AVE
WHITEFISH BAY, WI 53217-5301
Phone number:
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