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1508420654
MOLLY KATHERINE VIZELKA
GREEN BAY, WI
NPI
1508420654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2019-04-24
Last Update Date
2019-04-24
Business Address
MOLLY KATHERINE VIZELKA
1760 SHAWANO AVE
GREEN BAY, WI 54303-3216
Phone number: 920-499-5191
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Mailing Address
MOLLY KATHERINE VIZELKA
6155 CTY RD I
LENA, WI 54139
Phone number:
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