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1437577160
LUKE JAMES BRADEN
GENOA CITY, WI
NPI
1437577160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
226300000X Kinesiotherapist
(Licence: WI 1001128787)
Enumeration Date
2014-03-31
Last Update Date
2014-03-31
Business Address
Mr. LUKE JAMES BRADEN
1400 HUNTERS RIDGE DR UNIT 92
GENOA CITY, WI 53128-2541
Phone number: 262-770-6922
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Mailing Address
Mr. LUKE JAMES BRADEN
1400 HUNTERS RIDGE DR UNIT 92
GENOA CITY, WI 53128-2541
Phone number: 262-770-6922
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