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1194466029
HEIDI JEAN GONZALEZ
WAUWATOSA, WI
NPI
1194466029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WI 11040-146)
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
HEIDI JEAN GONZALEZ
12100 W DEARBOURN AVE
WAUWATOSA, WI 53226-3840
Phone number: 414-870-3548
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Mailing Address
HEIDI JEAN GONZALEZ
726 S 111TH ST
MILWAUKEE, WI 53214-2331
Phone number: 414-456-9242
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