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1679912794
JACOB ANDREW SOBCZAK
MILWAUKEE, WI
NPI
1679912794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 4988-27)
Enumeration Date
2013-06-21
Last Update Date
2013-06-21
Business Address
Mr. JACOB ANDREW SOBCZAK COTA
6263 N GREEN BAY AVE
MILWAUKEE, WI 53209-3823
Phone number: 414-351-0543
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Mailing Address
Mr. JACOB ANDREW SOBCZAK COTA
6263 N GREEN BAY AVE
MILWAUKEE, WI 53209-3823
Phone number: 414-351-0543
Copy
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