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1205877545
JEFFREY S THIEL
FOND DU LAC, WI
NPI
1205877545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 3639024)
Enumeration Date
2006-06-09
Last Update Date
2007-08-16
Business Address
JEFFREY S THIEL PT
430 E DIVISION ST
FOND DU LAC, WI 54935
Phone number: 920-926-5390
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Mailing Address
JEFFREY S THIEL PT
430 E DIVISION ST
FOND DU LAC, WI 54935
Phone number: 920-926-5390
Copy
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