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1497328835
NINA LAUTZ
WAUWATOSA, WI
NPI
1497328835
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Former Name
NINA ESOON KIM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 15539-24)
Enumeration Date
2021-07-22
Last Update Date
2021-07-22
Business Address
NINA LAUTZ DPT
3333 N MAYFAIR RD STE 101
WAUWATOSA, WI 53222-3219
Phone number: 800-974-4378
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Mailing Address
NINA LAUTZ DPT
24014 W RENWICK RD STE F
PLAINFIELD, IL 60544-8708
Phone number: 800-974-4378
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