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1598039943
SCOTT MICHAEL PETHAN
OSHKOSH, WI
NPI
1598039943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Y00000X Clinical Exercise Physiologist
(Licence: WI 136064-30)
Enumeration Date
2012-03-02
Last Update Date
2012-03-02
Business Address
Mr. SCOTT MICHAEL PETHAN MS, BSN, RN
2700 W 9TH AVE SUITE 107
OSHKOSH, WI 54904-7247
Phone number: 920-236-1835
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Mailing Address
Mr. SCOTT MICHAEL PETHAN MS, BSN, RN
2700 W 9TH AVE SUITE 107
OSHKOSH, WI 54904-7247
Phone number: 920-236-1835
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