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1427079235
DIANE SUE KELLNHOFER
MADISON, WI
NPI
1427079235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 480-19)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
-- DIANE SUE KELLNHOFER
600 HIGHLAND AVE COMPLIANCE MAIL CODE-2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
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Mailing Address
-- DIANE SUE KELLNHOFER
600 HIGHLAND AVE COMPLIANCE MAIL CODE-2433
MADISON, WI 53792-0001
Phone number:
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