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1619317468
SUSAN DEBORAH KONKLE
APPLETON, WI
NPI
1619317468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: WI 530-019)
Enumeration Date
2013-06-26
Last Update Date
2018-10-25
Business Address
SUSAN DEBORAH KONKLE PTA
1335 S ONEIDA ST
APPLETON, WI 54915-1351
Phone number: 920-731-6646
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Mailing Address
SUSAN DEBORAH KONKLE PTA
1335 S ONEIDA ST
APPLETON, WI 54915-1351
Phone number: 920-731-6646
Copy
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