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1730923053
LILY ERTEL
GREEN BAY, WI
NPI
1730923053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 16835)
Enumeration Date
2024-06-21
Last Update Date
2024-10-18
Business Address
LILY ERTEL PT
2253 W MASON ST
GREEN BAY, WI 54303-4706
Phone number: 920-327-7200
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Mailing Address
LILY ERTEL PT
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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