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1326267477
TINA VASCONCELLOS
DE PERE, WI
NPI
1326267477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 02088)
Enumeration Date
2007-04-25
Last Update Date
2009-02-13
Business Address
Mrs. TINA VASCONCELLOS
417 SCOTCHWOOD RD
DE PERE, WI 54115-2457
Phone number: 920-883-0661
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Mailing Address
Mrs. TINA VASCONCELLOS
417 SCOTCHWOOD RD
DE PERE, WI 54115-2457
Phone number: 920-883-0661
Copy
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