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1376669655
LISA STARK-JONES
DE PERE, WI
NPI
1376669655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 286-026)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- LISA STARK-JONES OTR
1142 ORLANDO DR
DE PERE, WI 54115-9484
Phone number: 920-339-0700
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Mailing Address
-- LISA STARK-JONES OTR
2680 FOXFIRE DR
GREEN BAY, WI 54311-6790
Phone number: 920-469-3546
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