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1528682291
NICHOLAS WAYNE SOLUM
WAUSAU, WI
NPI
1528682291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 15002-24)
Enumeration Date
2020-05-29
Last Update Date
2020-05-29
Business Address
NICHOLAS WAYNE SOLUM
930 S 17TH AVE
WAUSAU, WI 54401-5739
Phone number: 715-870-2225
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Mailing Address
NICHOLAS WAYNE SOLUM
930 S 17TH AVE
WAUSAU, WI 54401-5739
Phone number: 715-365-5252
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