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1306103726
STEPHANIE VANDEVELDE
GREEN BAY, WI
NPI
1306103726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1143)
Enumeration Date
2012-04-23
Last Update Date
2012-04-23
Business Address
-- STEPHANIE VANDEVELDE PTA
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-288-8000
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Mailing Address
-- STEPHANIE VANDEVELDE PTA
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-288-8000
Copy
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