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1235804543
KIRK HAROLD MIELS
BROOKFIELD, WI
NPI
1235804543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 3002)
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
KIRK HAROLD MIELS PTA
13900 W BURLEIGH RD
BROOKFIELD, WI 53005-3019
Phone number: 262-781-0550
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Mailing Address
KIRK HAROLD MIELS PTA
W156N5781 PILGRIM RD
MENOMONEE FALLS, WI 53051-5926
Phone number: 414-530-4686
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