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1760766125
ANGELA ELAINE VANDENBERG
MANITOWOC, WI
NPI
1760766125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 1524-27)
Enumeration Date
2011-10-04
Last Update Date
2011-10-04
Business Address
Mrs. ANGELA ELAINE VANDENBERG COTA
960 S RAPIDS RD
MANITOWOC, WI 54220-4146
Phone number: 920-684-1144
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Mailing Address
Mrs. ANGELA ELAINE VANDENBERG COTA
960 S RAPIDS RD
MANITOWOC, WI 54220-4146
Phone number: 920-684-1144
Copy
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