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1588258172
GEOFFREY WIETELMANN
MADISON, WI
NPI
1588258172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WI 5170-154)
Enumeration Date
2021-02-24
Last Update Date
2021-02-24
Business Address
GEOFFREY WIETELMANN
4817 SHEBOYGAN AVE APT 302
MADISON, WI 53705-2910
Phone number: 510-593-7047
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Mailing Address
GEOFFREY WIETELMANN
4817 SHEBOYGAN AVE APT 302
MADISON, WI 53705-2910
Phone number:
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