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1699140814
THADDEUS HOLGADO
MEQUON, WI
NPI
1699140814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: IL 213000212)
Enumeration Date
2015-12-14
Last Update Date
2015-12-14
Business Address
Mr. THADDEUS HOLGADO C.O.
12075 CORPORATE PKWY SUITE 120
MEQUON, WI 53092-2665
Phone number: 844-447-5894
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Mailing Address
Mr. THADDEUS HOLGADO C.O.
720 E. BUTTERFIELD ROAD SUITE 180
LOMBARD, IL 60148
Phone number: 630-627-5383
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