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1508368580
LORI A. KISTING
JANESVILLE, WI
NPI
1508368580
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Former Name
LORI A. PORTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 686-19)
Enumeration Date
2018-03-06
Last Update Date
2018-03-06
Business Address
LORI A. KISTING PTA
1000 MINERAL POINT AVE
JANESVILLE, WI 53548-2940
Phone number: 608-756-6050
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Mailing Address
LORI A. KISTING PTA
1000 MINERAL POINT AVE
JANESVILLE, WI 53548-2940
Phone number: 608-756-6050
Copy
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