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1649390352
MARK JAMES VANDECASTLE
WAUTOMA, WI
NPI
1649390352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: WI 3211-012)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
MARK JAMES VANDECASTLE D.C.
140 N. TOWNLINE RD
WAUTOMA, WI 54982-0246
Phone number: 920-787-0122
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Mailing Address
MARK JAMES VANDECASTLE D.C.
140 N. TOWNLINE RD PO BOX 246
WAUTOMA, WI 54982-0246
Phone number: 920-787-0122
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