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1508039041
KATHI ELLISON DEBAKER
GREEN BAY, WI
NPI
1508039041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2008-04-04
Last Update Date
2008-04-04
Business Address
-- KATHI ELLISON DEBAKER PTA
1555 DOUSMAN ST
GREEN BAY, WI 54303-3207
Phone number: 920-494-4525
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Mailing Address
-- KATHI ELLISON DEBAKER PTA
1555 DOUSMAN ST
GREEN BAY, WI 54303-3207
Phone number: 920-494-4525
Copy
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