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1336124783
MARY A TRIM
LA CROSSE, WI
NPI
1336124783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 1580)
Enumeration Date
2005-12-08
Last Update Date
2007-07-08
Business Address
-- MARY A TRIM OTR
700 WEST AVE S
LA CROSSE, WI 54601-4783
Phone number: 608-791-9768
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Mailing Address
-- MARY A TRIM OTR
700 WEST AVE S ATTN PHYSICIAN SERVICES
LA CROSSE, WI 54601-4783
Phone number: 608-791-4156
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