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1184973877
LIBERTY STAR MEDICAL LTD
JANESVILLE, WI
NPI
1184973877
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Entity Type
Organization
Authorized Contact
DAVID BRIAN GATTUSO
Physician
608-563-4213
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: WI 27454-20)
Enumeration Date
2012-09-10
Last Update Date
2012-09-20
Business Address
LIBERTY STAR MEDICAL LTD
1905 CENTER AVE SUITE 5
JANESVILLE, WI 53546-2842
Phone number: 608-563-4213
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Mailing Address
LIBERTY STAR MEDICAL LTD
1905 CENTER AVE SUITE 5
JANESVILLE, WI 53546-2842
Phone number: 608-295-3670
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