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1174302384
MICHELLE IDA TENUTA
LAKE GENEVA, WI
NPI
1174302384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WI 6334154)
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
MICHELLE IDA TENUTA
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147-2655
Phone number: 262-245-0535
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Mailing Address
MICHELLE IDA TENUTA
2812 LINCOLN RD
KENOSHA, WI 53143-5654
Phone number: 262-914-9565
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