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1649533217
ELIZABETH ANN MCCLELLAND
VIROQUA, WI
NPI
1649533217
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Former Name
ELIZABETH ANN FANTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 438074)
Enumeration Date
2012-06-19
Last Update Date
2023-08-25
Business Address
ELIZABETH ANN MCCLELLAND
614 S ROCK AVE
VIROQUA, WI 54665-1936
Phone number: 608-637-6337
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Mailing Address
ELIZABETH ANN MCCLELLAND
310 FAIRLANE DR
VIROQUA, WI 54665
Phone number: 608-637-5422
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