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1275160178
JOHN S LEE
GREEN BAY, WI
NPI
1275160178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 2575-19)
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
JOHN S LEE
2961 SAINT ANTHONY DR
GREEN BAY, WI 54311-5860
Phone number: 920-468-0861
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Mailing Address
JOHN S LEE
839 CENTENNIAL CENTRE BLVD APT 14
HOBART, WI 54155-8694
Phone number:
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