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1811518657
KECIA THOMPSONGORDON
BELOIT, WI
NPI
1811518657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 2959)
Enumeration Date
2020-05-04
Last Update Date
2020-05-04
Business Address
Ms. KECIA THOMPSONGORDON PTA
1905 W HART RD
BELOIT, WI 53511-2230
Phone number: 608-365-7500
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Mailing Address
Ms. KECIA THOMPSONGORDON PTA
710 CAMPUS ST APT 5
MILTON, WI 53563-1747
Phone number: 608-868-6130
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