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1558077974
SARA DAKOTA FULGHUM
MOUNT PLEASANT, WI
NPI
1558077974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 8155-26)
Enumeration Date
2023-01-30
Last Update Date
2023-01-30
Business Address
SARA DAKOTA FULGHUM
13203 GLOBE DR STE 111
MOUNT PLEASANT, WI 53177-1616
Phone number: 262-287-0090
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Mailing Address
SARA DAKOTA FULGHUM
6058 109TH AVE
KENOSHA, WI 53142-7598
Phone number: 847-702-7363
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