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1801172010
ABIGAIL JOHNSON
GREEN BAY, WI
NPI
1801172010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1802-019)
Enumeration Date
2011-11-01
Last Update Date
2011-11-01
Business Address
-- ABIGAIL JOHNSON PTA
2305 SAN LUIS PL
GREEN BAY, WI 54304-5211
Phone number: 920-494-5231
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Mailing Address
-- ABIGAIL JOHNSON PTA
3235 W POINT RD
GREEN BAY, WI 54313-5219
Phone number: 920-471-8042
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