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1710936141
EDWARD J DONNER
KENOSHA, WI
NPI
1710936141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: WI 2142057)
Enumeration Date
2006-05-10
Last Update Date
2007-10-06
Business Address
MR. EDWARD J DONNER PH.D.
3601 30TH AVE SUITE LL1
KENOSHA, WI 53144-1695
Phone number: 262-657-9777
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Mailing Address
MR. EDWARD J DONNER PH.D.
3601 30TH AVE SUITE LL1
KENOSHA, WI 53144-1695
Phone number: 262-657-9777
Copy
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