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1902365513
MIKALA MARION UNDERWOOD
EAU CLAIRE, WI
NPI
1902365513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 6425-26)
Enumeration Date
2019-03-14
Last Update Date
2022-03-23
Business Address
MIKALA MARION UNDERWOOD
1400 BELLINGER ST
EAU CLAIRE, WI 54703-5222
Phone number: 715-838-5222
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Mailing Address
MIKALA MARION UNDERWOOD
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 715-838-5222
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