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1720559560
CHRISTIAN TIMOTHY PULS
KENOSHA, WI
NPI
1720559560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 6186)
Enumeration Date
2018-12-05
Last Update Date
2018-12-05
Business Address
CHRISTIAN TIMOTHY PULS OTR
1703 60TH ST
KENOSHA, WI 53140-3986
Phone number: 262-658-4125
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Mailing Address
CHRISTIAN TIMOTHY PULS OTR
2428 SPRINGDALE RD APT 12
WAUKESHA, WI 53186-8721
Phone number: 260-249-0495
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