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1306387337
JOHN MOONEY
GLENDALE, WI
NPI
1306387337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2017-03-09
Last Update Date
2017-03-09
Business Address
Mr. JOHN MOONEY CPO1410
2555 W KENBOERN DR
GLENDALE, WI 53209-1835
Phone number: 414-540-1202
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Mailing Address
Mr. JOHN MOONEY CPO1410
2555 W KENBOERN DR
GLENDALE, WI 53209-1835
Phone number: 414-540-1202
Copy