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1699968016
JAY TIMOTHY BROGELMAN
CEDARBURG, WI
NPI
1699968016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 2047-027)
Enumeration Date
2007-08-20
Last Update Date
2007-08-20
Business Address
Mr. JAY TIMOTHY BROGELMAN
N27 W5707 LINCOLN BLVD. CEDAR SPRINGS HEALTH AND REHABILITATION CENTER
CEDARBURG, WI 53012
Phone number: 262-376-7676
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Mailing Address
Mr. JAY TIMOTHY BROGELMAN
3468 CLIFFORD DR
HARTFORD, WI 53027-9224
Phone number: 715-828-0904
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