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1194355198
SANDRA SUE LEUTHE
BLOOMER, WI
NPI
1194355198
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Former Name
SANDRA SUE WALTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 2977-19)
Enumeration Date
2020-01-19
Last Update Date
2020-01-19
Business Address
SANDRA SUE LEUTHE
1731 17TH AVE
BLOOMER, WI 54724-1512
Phone number: 715-568-4669
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Mailing Address
SANDRA SUE LEUTHE
738 SUMMIT AVE
CHIPPEWA FALLS, WI 54729-3523
Phone number: 715-456-4150
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