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1396134524
GRACE ELIZABETH CORTEZ
MOUNT PLEASANT, WI
NPI
1396134524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 39-744)
Enumeration Date
2015-01-12
Last Update Date
2019-05-10
Business Address
GRACE ELIZABETH CORTEZ LAT
3801 SPRING ST ORTHOPEDIC DEPARTMENT
MOUNT PLEASANT, WI 53405-1667
Phone number: 262-687-5838
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Mailing Address
GRACE ELIZABETH CORTEZ LAT
175 DEVLIN RD APT 202
INGLESIDE, IL 60041-9714
Phone number: 815-757-5111
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