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1720266547
MELISSA SUE MICHAELIS
MADISON, WI
NPI
1720266547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1398-019)
Enumeration Date
2008-02-04
Last Update Date
2008-02-04
Business Address
MELISSA SUE MICHAELIS
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
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Mailing Address
MELISSA SUE MICHAELIS
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
Copy
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