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1316303902
JASON HACHT
MENOMONEE FALLS, WI
NPI
1316303902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1105-019)
Enumeration Date
2016-01-12
Last Update Date
2016-01-12
Business Address
-- JASON HACHT PTA
N84W17049 MENOMONEE AVE
MENOMONEE FALLS, WI 53051-2701
Phone number: 262-255-1180
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Mailing Address
-- JASON HACHT PTA
N84W17049 MENOMONEE AVE
MENOMONEE FALLS, WI 53051-2701
Phone number: 262-255-1180
Copy
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