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1235965682
KIRA LYNN MICKELSON
MADISON, WI
NPI
1235965682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 16980-24)
Enumeration Date
2024-09-11
Last Update Date
2024-09-11
Business Address
KIRA LYNN MICKELSON PT, DPT
801 BRAXTON PL
MADISON, WI 53715-1415
Phone number: 608-260-2700
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Mailing Address
KIRA LYNN MICKELSON PT, DPT
731 WILLIAMSON ST APT 341
MADISON, WI 53703-3545
Phone number: 262-903-8541
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