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1285115352
KYLE ALAN TENBOER
BROOKFIELD, WI
NPI
1285115352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 14413-24)
Enumeration Date
2018-08-27
Last Update Date
2019-01-08
Business Address
Mr. KYLE ALAN TENBOER DPT
19035 W CAPITOL DR STE 100
BROOKFIELD, WI 53045-2755
Phone number: 262-695-6744
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Mailing Address
Mr. KYLE ALAN TENBOER DPT
19035 W CAPITOL DR STE 100
BROOKFIELD, WI 53045-2755
Phone number: 262-695-6744
Copy
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