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1174631220
COLLEEN JIMENEZ
MILWAUKEE, WI
NPI
1174631220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 368027)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
-- COLLEEN JIMENEZ
4065 N 35TH STREET
MILWAUKEE, WI 53216
Phone number: 414-445-9180
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Mailing Address
-- COLLEEN JIMENEZ
7916 N LINK PL
MILWAUKEE, WI 53223
Phone number:
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