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1366824864
PHONSO SMITH
MOUNT PLEASANT, WI
NPI
1366824864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 13110-24)
Enumeration Date
2015-06-22
Last Update Date
2015-06-22
Business Address
-- PHONSO SMITH
1300 S GREEN BAY RD
MOUNT PLEASANT, WI 53406-4469
Phone number: 262-898-3930
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Mailing Address
-- PHONSO SMITH
1300 S GREEN BAY RD
MOUNT PLEASANT, WI 53406-4469
Phone number: 262-898-3930
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