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1245552298
LISA L JOHNSON
WEST BEND, WI
NPI
1245552298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 378)
Enumeration Date
2010-02-18
Last Update Date
2010-02-19
Business Address
-- LISA L JOHNSON P.T.A.
1190 E PARADISE DR
WEST BEND, WI 53095-5444
Phone number: 262-306-6319
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Mailing Address
-- LISA L JOHNSON P.T.A.
1700 W PARADISE DR
WEST BEND, WI 53095-9795
Phone number: 262-306-6319
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