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1356709190
MARK PROBASCO
FOND DU LAC, WI
NPI
1356709190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 15209)
Enumeration Date
2016-02-08
Last Update Date
2024-12-06
Business Address
MARK PROBASCO DPT
727 W JOHNSON ST
FOND DU LAC, WI 54935-2015
Phone number: 920-581-0111
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Mailing Address
MARK PROBASCO DPT
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE, IL 60515-1211
Phone number: 866-370-8206
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