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1811222938
DAVID N VAN DE WATER
MOUNT PLEASANT, WI
NPI
1811222938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 11232-024)
Enumeration Date
2009-10-07
Last Update Date
2021-11-21
Business Address
DAVID N VAN DE WATER DPT
6222 WASHINGTON AVE
MOUNT PLEASANT, WI 53406-3948
Phone number: 262-884-6418
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Mailing Address
DAVID N VAN DE WATER DPT
6222 WASHINGTON AVE
MOUNT PLEASANT, WI 53406-3948
Phone number: 262-884-6418
Copy
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