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1386946135
SUSAN LAVERNE RENARD
GREEN BAY, WI
NPI
1386946135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 392-27)
Enumeration Date
2010-11-30
Last Update Date
2010-11-30
Business Address
Mrs. SUSAN LAVERNE RENARD cota
1760 SHAWANO AVE
GREEN BAY, WI 54303-3216
Phone number: 920-499-5191
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Mailing Address
Mrs. SUSAN LAVERNE RENARD cota
1760 SHAWANO AVE
GREEN BAY, WI 54303-3216
Phone number: 920-499-5191
Copy
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