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1790966604
JOHN L ELMENDORF
SHEBOYGAN, WI
NPI
1790966604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 2810-026)
Enumeration Date
2007-11-19
Last Update Date
2022-10-10
Business Address
Mr. JOHN L ELMENDORF OTR/L
1125 N 13TH ST
SHEBOYGAN, WI 53081-3281
Phone number: 920-803-1617
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Mailing Address
Mr. JOHN L ELMENDORF OTR/L
1125 N 13TH ST
SHEBOYGAN, WI 53081-3281
Phone number: 920-803-1617
Copy
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