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1902003551
SUSAN MARY HAEGELE
GREEN BAY, WI
NPI
1902003551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 1281-026)
Enumeration Date
2007-06-28
Last Update Date
2007-07-09
Business Address
Ms. SUSAN MARY HAEGELE OTR
2801 S WEBSTER AVE
GREEN BAY, WI 54301-2878
Phone number: 920-337-1122
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Mailing Address
Ms. SUSAN MARY HAEGELE OTR
2419 WATSON CIR
DEPERE, WI 54115
Phone number: 920-339-0974
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