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1619114683
AMANDA FUSSY
MENOMONIE, WI
NPI
1619114683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1547-19)
Enumeration Date
2009-01-13
Last Update Date
2009-01-13
Business Address
-- AMANDA FUSSY PTA
915 ELM AVE E
MENOMONIE, WI 54751-1613
Phone number: 715-235-9041
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Mailing Address
-- AMANDA FUSSY PTA
915 ELM AVE E
MENOMONIE, WI 54751-1613
Phone number: 715-235-9041
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