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1780224147
PA YOUA YANG
BROOKFIELD, WI
NPI
1780224147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 6626)
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
PA YOUA YANG OTR
19395 W CAPITOL DR STE 200
BROOKFIELD, WI 53045-2736
Phone number: 262-923-7101
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Mailing Address
PA YOUA YANG OTR
3816 S 10TH ST
SHEBOYGAN, WI 53081-8608
Phone number: 920-254-5469
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