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1457442899
KRIS DESOTELLE
BROOKFIELD, WI
NPI
1457442899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1323)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
-- KRIS DESOTELLE PTA
17280 W NORTH AVE #104
BROOKFIELD, WI 53045-4366
Phone number: 262-780-0707
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Mailing Address
-- KRIS DESOTELLE PTA
17280 W NORTH AVE #104
BROOKFIELD, WI 53045-4366
Phone number: 262-780-0707
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