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1588966436
DOUGLAS LONGMORE
MONROE, WI
NPI
1588966436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 10812-24)
Enumeration Date
2010-11-29
Last Update Date
2010-11-29
Business Address
-- DOUGLAS LONGMORE P.T.
515 22ND AVE
MONROE, WI 53566-1569
Phone number: 608-324-1993
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Mailing Address
-- DOUGLAS LONGMORE P.T.
819 4TH ST
NEW GLARUS, WI 53574-9426
Phone number: 608-527-2556
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