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1376154575
ELISE NICKEL
WAUWATOSA, WI
NPI
1376154575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 3040-19)
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
ELISE NICKEL
2999 N MAYFAIR RD
WAUWATOSA, WI 53222-4306
Phone number: 414-479-3737
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Mailing Address
ELISE NICKEL
2999 N MAYFAIR RD
WAUWATOSA, WI 53222-4306
Phone number: 414-479-3737
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