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1821527821
LUCAS A NAVRESTAD
GREEN BAY, WI
NPI
1821527821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 13845-24)
Enumeration Date
2017-06-05
Last Update Date
2023-02-01
Business Address
LUCAS A NAVRESTAD D-PT
3021 VOYAGER DR
GREEN BAY, WI 54311-8303
Phone number: 920-496-4700
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Mailing Address
LUCAS A NAVRESTAD D-PT
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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