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1467968313
RYAN PATRICK BOURDELAIS
DE PERE, WI
NPI
1467968313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 6155)
Enumeration Date
2017-12-14
Last Update Date
2017-12-14
Business Address
RYAN PATRICK BOURDELAIS
200 S 9TH ST
DE PERE, WI 54115-1393
Phone number: 920-338-4146
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Mailing Address
RYAN PATRICK BOURDELAIS
2002 PINK DOGWOOD WAY
SUAMICO, WI 54313-3241
Phone number: 715-923-1080
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