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1457336992
ANDREW J TABER
GREEN BAY, WI
NPI
1457336992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 10026)
Enumeration Date
2005-12-07
Last Update Date
2021-11-26
Business Address
ANDREW J TABER PT
2223 LIME KILN RD
GREEN BAY, WI 54311-6213
Phone number: 920-560-1147
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Mailing Address
ANDREW J TABER PT
2105 E ENTERPRISE AVE STE 113
APPLETON, WI 54913-7862
Phone number: 920-560-1147
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