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1891395661
SPINE SOLUTIONS OF SHEBOYGAN LLC
SHEBOYGAN, WI
NPI
1891395661
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Entity Type
Organization
Authorized Contact
JEREMY SCARLETT
Owner
414-455-1153
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center Ambulatory Surgical
Enumeration Date
2020-10-29
Last Update Date
2020-10-29
Business Address
SPINE SOLUTIONS OF SHEBOYGAN LLC
2124 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081-3169
Phone number: 414-455-1153
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Mailing Address
SPINE SOLUTIONS OF SHEBOYGAN LLC
2124 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081-3169
Phone number: 414-455-1153
Copy
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