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1629100607
TAMIE LEE FULLERTON
MILWAUKEE, WI
NPI
1629100607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 6084)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
Ms. TAMIE LEE FULLERTON PTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKEE, WI 97222
Phone number: 971-206-5129
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Mailing Address
Ms. TAMIE LEE FULLERTON PTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKEE, WI 97222
Phone number: 971-206-5129
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