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1740963057
KARISA NICOLE GLOUDEMANS
CLINTONVILLE, WI
NPI
1740963057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 16514-24)
Enumeration Date
2023-08-11
Last Update Date
2024-08-12
Business Address
KARISA NICOLE GLOUDEMANS DPT
370 S MAIN ST
CLINTONVILLE, WI 54929-1632
Phone number: 920-531-2031
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Mailing Address
KARISA NICOLE GLOUDEMANS DPT
W6641 RICKEY LN
GREENVILLE, WI 54942-8502
Phone number: 920-419-4767
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