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1780814186
JOHN LESLIE DIELS
WAUKESHA, WI
NPI
1780814186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 2139-024)
Enumeration Date
2009-07-20
Last Update Date
2009-07-20
Business Address
-- JOHN LESLIE DIELS P.T.
1810 KENSINGTON DR
WAUKESHA, WI 53188-5616
Phone number: 262-548-1400
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Mailing Address
-- JOHN LESLIE DIELS P.T.
2350 COUNTY ROAD AB
MC FARLAND, WI 53558-9760
Phone number: 608-335-8913
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