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1871286997
SHALLA MOY
FITCHBURG, WI
NPI
1871286997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 16302-24)
Enumeration Date
2023-06-02
Last Update Date
2023-06-02
Business Address
SHALLA MOY
2927 S FISH HATCHERY RD
FITCHBURG, WI 53711-6498
Phone number: 608-819-6394
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Mailing Address
SHALLA MOY
6 SUMTER CT
MADISON, WI 53705-4208
Phone number: 608-239-5136
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