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1215304480
NATHAN BOEHMKE
WAUWATOSA, WI
NPI
1215304480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 13220-24)
Enumeration Date
2015-08-24
Last Update Date
2015-08-24
Business Address
-- NATHAN BOEHMKE DPT
933 N MAYFAIR RD
WAUWATOSA, WI 53226-3432
Phone number: 414-258-3600
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Mailing Address
-- NATHAN BOEHMKE DPT
933 N MAYFAIR RD
WAUWATOSA, WI 53226-3432
Phone number: 414-258-3600
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