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1881255669
DANIEL JACOBSEN
MILWAUKEE, WI
NPI
1881255669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
DANIEL JACOBSEN
3200 S 20TH ST
MILWAUKEE, WI 53215-4442
Phone number: 414-389-3200
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Mailing Address
DANIEL JACOBSEN
N103W17546 WHITETAIL RUN
GERMANTOWN, WI 53022-4691
Phone number:
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