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1710097241
DOUGLAS MAZUR
WEST BEND, WI
NPI
1710097241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 4798)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
DOUGLAS MAZUR MS PT
224 BUTTERNUT ST
WEST BEND, WI 53095-4910
Phone number: 262-365-0650
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Mailing Address
DOUGLAS MAZUR MS PT
11501 N PARKVIEW DR
MEQUON, WI 53092-1920
Phone number: 262-365-0650
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