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1750824959
MARY ELLEN TECLAW
BROOKFIELD, WI
NPI
1750824959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 3440-35)
Enumeration Date
2016-11-21
Last Update Date
2018-08-06
Business Address
Dr. MARY ELLEN TECLAW O.D.
17495 W CAPITOL DR SUITE D
BROOKFIELD, WI 53045-2059
Phone number: 262-797-9638
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Mailing Address
Dr. MARY ELLEN TECLAW O.D.
503 COMMERCE DR
MADISON, WI 53719-4941
Phone number: 608-833-0062
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