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1467972505
NICK GAFFNEY
BEAVER DAM, WI
NPI
1467972505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2017-06-20
Last Update Date
2017-06-20
Business Address
NICK GAFFNEY PTA
104 FAKES CT
BEAVER DAM, WI 53916-2699
Phone number: 920-356-9818
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Mailing Address
NICK GAFFNEY PTA
1225 CHELSEA CT
MENASHA, WI 54952-8915
Phone number: 920-850-2561
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