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1396747010
GERALD T TATE
APPLETON, WI
NPI
1396747010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 9723)
Enumeration Date
2005-08-12
Last Update Date
2020-12-23
Business Address
Mr. GERALD T TATE PT
4835 N CHERRYVALE AVE
APPLETON, WI 54913-9383
Phone number: 920-427-0350
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Mailing Address
Mr. GERALD T TATE PT
4835 N CHERRYVALE AVE
APPLETON, WI 54913-9383
Phone number: 920-427-0350
Copy
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