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1639564206
KURT THOMAS DAUL
GREENFIELD, WI
NPI
1639564206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 17422-130)
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
Mr. KURT THOMAS DAUL
6510 W LAYTON AVE
GREENFIELD, WI 53220-4573
Phone number: 920-530-4718
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Mailing Address
Mr. KURT THOMAS DAUL
6510 W LAYTON AVE
GREENFIELD, WI 53220-4573
Phone number:
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