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1568581106
JOSHUA DAVID RUNYON
LA CROSSE, WI
NPI
1568581106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WI 7655-120)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
-- JOSHUA DAVID RUNYON BSW
1407 SAINT ANDREW ST SUITE 100
LA CROSSE, WI 54603-3301
Phone number: 608-785-6211
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Mailing Address
-- JOSHUA DAVID RUNYON BSW
912 AVON ST
LA CROSSE, WI 54603-2602
Phone number: 608-782-3310
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