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1679341242
MIKALA M RUBO
GREEN BAY, WI
NPI
1679341242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 8455)
Enumeration Date
2023-12-13
Last Update Date
2023-12-13
Business Address
MIKALA M RUBO OT
1110 KEPLER DR
GREEN BAY, WI 54311-8306
Phone number: 920-288-4712
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Mailing Address
MIKALA M RUBO OT
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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