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1528122009
ILENE LINDA LARSON
MADISON, WI
NPI
1528122009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 1236-024)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
Ms. ILENE LINDA LARSON Physical Therapist
2620 WAUNONA WAY
MADISON, WI 53713-1525
Phone number: 608-223-1452
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Mailing Address
Ms. ILENE LINDA LARSON Physical Therapist
2620 WAUNONA WAY
MADISON, WI 53713-1525
Phone number: 608-223-1452
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