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1881930931
TREVOR JAMES MANCL
GREEN BAY, WI
NPI
1881930931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 12664-24)
Enumeration Date
2012-12-18
Last Update Date
2022-01-18
Business Address
TREVOR JAMES MANCL DPT
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4750
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Mailing Address
TREVOR JAMES MANCL DPT
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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