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1740494764
MARY LARSON WEBER
PORT WASHINGTON, WI
NPI
1740494764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 4508-024)
Enumeration Date
2007-05-09
Last Update Date
2008-12-05
Business Address
-- MARY LARSON WEBER P.T.
1119 N WISCONSIN ST
PORT WASHINGTON, WI 53074-1209
Phone number: 262-285-5892
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Mailing Address
-- MARY LARSON WEBER P.T.
11312 N BOBOLINK LN
MEQUON, WI 53092-3005
Phone number: 262-242-7836
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