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1780229039
NICK C DOUGLAS
MILWAUKEE, WI
NPI
1780229039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 14830)
Enumeration Date
2019-11-11
Last Update Date
2021-12-28
Business Address
NICK C DOUGLAS PT
7878 N 76TH ST
MILWAUKEE, WI 53223-3914
Phone number: 414-586-5760
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Mailing Address
NICK C DOUGLAS PT
7878 N 76TH ST
MILWAUKEE, WI 53223-3914
Phone number: 414-586-5760
Copy
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