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1386916476
SARA MARIE RADKE
GREEN BAY, WI
NPI
1386916476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1818-019)
Enumeration Date
2012-02-03
Last Update Date
2012-02-03
Business Address
-- SARA MARIE RADKE PTA
2305 SAN LUIS PL
GREEN BAY, WI 54304-5211
Phone number: 920-494-2817
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Mailing Address
-- SARA MARIE RADKE PTA
850 CENTENNIAL CENTENNIAL CENTRE BLVD. APT. 83
HOBART, WI 54155
Phone number:
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