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1306019625
MARY ANTONY
KENOSHA, WI
NPI
1306019625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WI 285-154)
Enumeration Date
2008-04-08
Last Update Date
2008-04-08
Business Address
Ms. MARY ANTONY
1218 79TH ST
KENOSHA, WI 53143-6111
Phone number: 262-658-9500
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Mailing Address
Ms. MARY ANTONY
1218 79TH ST
KENOSHA, WI 53143-6111
Phone number:
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