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1306226717
ADAM JOHN CORDOVA
GREEN BAY, WI
NPI
1306226717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 13012-24)
Enumeration Date
2015-06-02
Last Update Date
2015-06-02
Business Address
-- ADAM JOHN CORDOVA PT
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-3500
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Mailing Address
-- ADAM JOHN CORDOVA PT
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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