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1508811399
JUDITH BUDIONO KOSASIH
MILWAUKEE, WI
NPI
1508811399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WI 30430)
Enumeration Date
2006-05-23
Last Update Date
2007-07-08
Business Address
-- JUDITH BUDIONO KOSASIH M.D.
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: 414-394-2000
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Mailing Address
-- JUDITH BUDIONO KOSASIH M.D.
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number:
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