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1184052680
KRYSTA KOSCAK
WEST ALLIS, WI
NPI
1184052680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-10-18
Last Update Date
2013-10-18
Business Address
-- KRYSTA KOSCAK
2222 S 114TH ST
WEST ALLIS, WI 53227-1031
Phone number: 414-449-4444
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Mailing Address
-- KRYSTA KOSCAK
2222 S 114TH ST
WEST ALLIS, WI 53227-1031
Phone number:
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