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1477526614
CANDACE CRIST PORTER
BROOKFIELD, WI
NPI
1477526614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 1347024)
Enumeration Date
2006-02-08
Last Update Date
2007-07-08
Business Address
CANDACE CRIST PORTER PT
17280 W NORTH AVE #104
BROOKFIELD, WI 53045-4366
Phone number: 262-780-0707
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Mailing Address
CANDACE CRIST PORTER PT
17280 W NORTH AVE #104
BROOKFIELD, WI 53045-4366
Phone number: 262-780-0707
Copy
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