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1871822114
MARY ELLEN EVANS
WEST BEND, WI
NPI
1871822114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 851-24)
Enumeration Date
2009-12-16
Last Update Date
2009-12-16
Business Address
Ms. MARY ELLEN EVANS P.T.
5505 COUNTY ROAD Z
WEST BEND, WI 53095-9224
Phone number: 262-306-4280
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Mailing Address
Ms. MARY ELLEN EVANS P.T.
5505 COUNTY ROAD Z
WEST BEND, WI 53095-9224
Phone number: 262-306-4280
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