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1689939639
ANDREA MICHELLE BLUEL
BEAVER DAM, WI
NPI
1689939639
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Former Name
ANDREA MICHELLE SUKOWSKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1789-019)
Enumeration Date
2012-07-05
Last Update Date
2012-07-05
Business Address
-- ANDREA MICHELLE BLUEL PTA
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916-3027
Phone number: 920-887-4039
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Mailing Address
-- ANDREA MICHELLE BLUEL PTA
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916-3027
Phone number: 920-887-4039
Copy
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