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1487697140
LISA M FASKA
FOND DU LAC, WI
NPI
1487697140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 5947-024)
Enumeration Date
2006-06-13
Last Update Date
2007-08-16
Business Address
LISA M FASKA PT, MS
421 CAMELOT DR
FOND DU LAC, WI 54935
Phone number: 920-923-7940
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Mailing Address
LISA M FASKA PT, MS
421 CAMELOT DR
FOND DU LAC, WI 54935
Phone number: 920-923-7940
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