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1730414384
JAIME L DEESLIE
GREEN BAY, WI
NPI
1730414384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 9544-024)
Enumeration Date
2009-10-14
Last Update Date
2009-10-14
Business Address
-- JAIME L DEESLIE P.T.
835 S VAN BUREN ST
GREEN BAY, WI 54301-3526
Phone number: 920-433-8498
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Mailing Address
-- JAIME L DEESLIE P.T.
835 S VAN BUREN ST
GREEN BAY, WI 54301-3526
Phone number: 920-433-8498
Copy
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