KHESON KABALLA MADISON

WISCONSIN RAPIDS, WI
NPI1558871525
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2403-19)
Enumeration Date2017-10-04
Last Update Date2017-10-04
Business Address
KHESON KABALLA MADISON
555 W GRAND AVE
WISCONSIN RAPIDS, WI 54495-2784
Phone number: 715-424-4682
Mailing Address
KHESON KABALLA MADISON
555 W GRAND AVE
WISCONSIN RAPIDS, WI 54495-2784
Phone number: 715-424-4682
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