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1801912423
JILL BLAHA
DE PERE, WI
NPI
1801912423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 6518-024)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
-- JILL BLAHA MPT
1142 ORLANDO DR
DE PERE, WI 54115-9484
Phone number: 920-339-0700
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Mailing Address
-- JILL BLAHA MPT
841 WINDSONG WAY
DE PERE, WI 54115
Phone number: 920-983-6502
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