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1386818938
MYRTLE FAYE EATON
MILWAUKEE, WI
NPI
1386818938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 665-019)
Enumeration Date
2008-04-15
Last Update Date
2008-04-15
Business Address
Ms. MYRTLE FAYE EATON pta
4355 N 68TH ST
MILWAUKEE, WI 53216-1118
Phone number: 414-536-6160
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Mailing Address
Ms. MYRTLE FAYE EATON pta
4355 N 68TH ST
MILWAUKEE, WI 53216-1118
Phone number:
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