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1225276371
RANDAL GENE BOSI
GREEN BAY, WI
NPI
1225276371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: WI 3007-026)
Enumeration Date
2009-01-28
Last Update Date
2009-01-28
Business Address
Mr. RANDAL GENE BOSI OTR
600 S WEBSTER AVE
GREEN BAY, WI 54301-3503
Phone number: 920-432-3213
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Mailing Address
Mr. RANDAL GENE BOSI OTR
498 WINDROSE CT
GREEN BAY, WI 54311-7587
Phone number: 920-883-1808
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