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1720196561
DOUGLAS EDWARD BERTRAM
MADISON, WI
NPI
1720196561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: WI 482-055)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
-- DOUGLAS EDWARD BERTRAM L.Ac
1628 WINNEBAGO ST APT 1
MADISON, WI 53704-5559
Phone number: 608-692-7785
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Mailing Address
-- DOUGLAS EDWARD BERTRAM L.Ac
1628 WINNEBAGO ST APT 1
MADISON, WI 53704-5559
Phone number: 608-692-7785
Copy
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