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1245670140
TONYIA LEE FULTON
MILWAUKEE, WI
NPI
1245670140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1047-19)
Enumeration Date
2013-06-25
Last Update Date
2013-06-25
Business Address
Ms. TONYIA LEE FULTON PTA
10150 W NATIONAL AVE SUITE 150
MILWAUKEE, WI 53227-2145
Phone number: 866-458-2337
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Mailing Address
Ms. TONYIA LEE FULTON PTA
10150 W NATIONAL AVE SUITE 150
MILWAUKEE, WI 53227-2145
Phone number:
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