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1205311651
JACOB RYAN HURLBURT
MILWAUKEE, WI
NPI
1205311651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 2839-19)
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
Mr. JACOB RYAN HURLBURT PTA
6908 N SANTA MONICA BLVD
MILWAUKEE, WI 53217-3942
Phone number: 414-352-2082
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Mailing Address
Mr. JACOB RYAN HURLBURT PTA
1123 6TH AVE
GRAFTON, WI 53024-1807
Phone number: 715-495-4625
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