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1487487237
NATHAN REID DETERVILLE
GREEN BAY, WI
NPI
1487487237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 16963-24)
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
Dr. NATHAN REID DETERVILLE PT, DPT
933 ANDERSON DR STE G
GREEN BAY, WI 54304-5098
Phone number: 920-309-6588
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Mailing Address
Dr. NATHAN REID DETERVILLE PT, DPT
933 ANDERSON DR STE G
GREEN BAY, WI 54304-5098
Phone number: 920-309-6588
Copy
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