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1326020629
NORTHSHORE CLINIC OF SHEBOYGAN INC
SHEBOYGAN, WI
NPI
1326020629
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Entity Type
Organization
Authorized Contact
SUE A BALOG
Owner President
920-457-8866
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center Adult Mental Health
Enumeration Date
2005-11-14
Last Update Date
2011-11-16
Business Address
NORTHSHORE CLINIC OF SHEBOYGAN INC
615 S 8TH ST STE G20
SHEBOYGAN, WI 53081-4405
Phone number: 920-457-8866
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Mailing Address
NORTHSHORE CLINIC OF SHEBOYGAN INC
615 S 8TH ST STE G20
SHEBOYGAN, WI 53081-4405
Phone number: 920-457-8866
Copy
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