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1861518425
DIANE MCINNIS
DE PERE, WI
NPI
1861518425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 1991-024)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
-- DIANE MCINNIS PT
1142 ORLANDO DR
DE PERE, WI 54115-9484
Phone number: 920-339-0700
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Mailing Address
-- DIANE MCINNIS PT
W336 ALPINE DR
DE PERE, WI 54115-8918
Phone number: 920-869-1308
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