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1598033680
JOLENE MARIE HERLITZKE-FOSS
VIROQUA, WI
NPI
1598033680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 2063-27)
Enumeration Date
2011-12-05
Last Update Date
2011-12-05
Business Address
MRS. JOLENE MARIE HERLITZKE-FOSS COTA
E7404A COUNTY ROAD BB
VIROQUA, WI 54665-7502
Phone number: 608-637-5422
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Mailing Address
MRS. JOLENE MARIE HERLITZKE-FOSS COTA
N5116 GREEN COULEE RD
ONALASKA, WI 54650-8208
Phone number:
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