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1396842720
EDWARD M. LEITZE
HUDSON, WI
NPI
1396842720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 451)
Enumeration Date
2006-09-20
Last Update Date
2007-07-09
Business Address
Mr. EDWARD M. LEITZE PTA
2705 ENLOE ST
HUDSON, WI 54016-8173
Phone number: 715-386-2128
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Mailing Address
Mr. EDWARD M. LEITZE PTA
211 WARWICK ST SE
MINNEAPOLIS, MN 55414-3622
Phone number: 612-379-8172
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