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1467008672
KYLE RAY FISKE
MILWAUKEE, WI
NPI
1467008672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 2982-19)
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
KYLE RAY FISKE PTA
2448 S 102ND ST
MILWAUKEE, WI 53227-2466
Phone number: 414-329-2500
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Mailing Address
KYLE RAY FISKE PTA
805 ABBEY LN
VIROQUA, WI 54665-1075
Phone number: 608-632-5626
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