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1245621358
TIFFANY LUKASKO
WAUSAU, WI
NPI
1245621358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 1205324)
Enumeration Date
2015-02-11
Last Update Date
2015-02-11
Business Address
-- TIFFANY LUKASKO
333 PINE RIDGE BLVD
WAUSAU, WI 54401-4120
Phone number: 715-847-2121
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Mailing Address
-- TIFFANY LUKASKO
807 N 3RD AVE
EDGAR, WI 54426-9012
Phone number:
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