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1427644046
JACOB ANASON
GREEN BAY, WI
NPI
1427644046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 15167)
Enumeration Date
2020-12-17
Last Update Date
2020-12-17
Business Address
JACOB ANASON DPT
2502 S ASHLAND AVE
GREEN BAY, WI 54304-5252
Phone number: 920-496-4700
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Mailing Address
JACOB ANASON DPT
1128 RAINETTA DR
EAU CLAIRE, WI 54701-9337
Phone number: 715-271-2441
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