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1215231568
BRENDA MARIE RONGSTAD
WEST BEND, WI
NPI
1215231568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 294-019)
Enumeration Date
2010-12-30
Last Update Date
2010-12-30
Business Address
MRS. BRENDA MARIE RONGSTAD PTA
531 E WASHINGTON ST
WEST BEND, WI 53095-2531
Phone number: 262-335-4532
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Mailing Address
MRS. BRENDA MARIE RONGSTAD PTA
4820 HWY E
SLINGER, WI 53086-9132
Phone number: 262-644-2285
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