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1770150740
RILEY BROTAN
KENOSHA, WI
NPI
1770150740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Additional Taxonomies
235Z00000X Speech-Language Pathologist,
Enumeration Date
2021-06-08
Last Update Date
2022-07-28
Business Address
RILEY BROTAN
3615 WASHINGTON RD
KENOSHA, WI 53144-1640
Phone number: 262-358-8267
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Mailing Address
RILEY BROTAN
3615 WASHINGTON RD
KENOSHA, WI 53144-1640
Phone number:
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