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1609922665
KELLY J MALMQUIST
GREEN BAY, WI
NPI
1609922665
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Other Name
KELLY JEAN ZAHL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1321019)
Enumeration Date
2007-01-25
Last Update Date
2012-04-23
Business Address
MRS. KELLY J MALMQUIST PTA
1040 PILGRIM WAY
GREEN BAY, WI 54304-5028
Phone number: 920-405-3522
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Mailing Address
MRS. KELLY J MALMQUIST PTA
360 MARK COURT
NEENAH, WI 54956
Phone number: 920-209-0915
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