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1164863429
NICOLE S HERZOG
GREEN BAY, WI
NPI
1164863429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 12336)
Enumeration Date
2013-07-15
Last Update Date
2025-01-08
Business Address
NICOLE S HERZOG DPT
1110 KEPLER DR
GREEN BAY, WI 54311-8306
Phone number: 920-288-4712
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Mailing Address
NICOLE S HERZOG DPT
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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