MARK WAYNE FRAZIER

TOMAH, WI
NPI1679502504
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy226300000X Kinesiotherapist
(Licence: IL  1168)
Enumeration Date2006-07-02
Last Update Date2007-07-08
Business Address
Mr. MARK WAYNE FRAZIER RKT
500 E VETERANS ST
TOMAH, WI 54660-3105
Phone number: 608-372-3971
Mailing Address
Mr. MARK WAYNE FRAZIER RKT
15052 HELM RD
TOMAH, WI 54660-6837
Phone number: 608-372-0797
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