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1285641647
JOHN NICHOLAS WIRKUS
BROOKFIELD, WI
NPI
1285641647
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Other Name
JOHN WIRKUS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 1006)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
Mr. JOHN NICHOLAS WIRKUS
16535 W BLUEMOUND RD
BROOKFIELD, WI 53005-5936
Phone number: 262-542-3255
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Mailing Address
Mr. JOHN NICHOLAS WIRKUS
111 WEST ST
JOHNSON CREEK, WI 53038-9503
Phone number: 920-699-3703
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