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1417211798
AUDREY MARY WALDSCHMIDT
GREEN BAY, WI
NPI
1417211798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 242-19)
Enumeration Date
2012-07-01
Last Update Date
2012-07-01
Business Address
AUDREY MARY WALDSCHMIDT PTA
1229 S JACKSON ST
GREEN BAY, WI 54301-3037
Phone number: 920-437-6523
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Mailing Address
AUDREY MARY WALDSCHMIDT PTA
3223 WALL ST
GREEN BAY, WI 54311-9601
Phone number: 920-863-8416
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