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1194410100
WYATT RICHARD JOHNSON
MILWAUKEE, WI
NPI
1194410100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WI 15697-146)
Enumeration Date
2023-04-06
Last Update Date
2023-04-06
Business Address
WYATT RICHARD JOHNSON LMT
5261 N PORT WASHINGTON RD STE 101
MILWAUKEE, WI 53217-4903
Phone number: 414-332-6001
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Mailing Address
WYATT RICHARD JOHNSON LMT
2861 N DOWNER AVE
MILWAUKEE, WI 53211-3756
Phone number: 319-333-4875
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