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1902475221
KAMELIYA STOYANOVA GANCHEVA
MIDDLETON, WI
NPI
1902475221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 2863-19)
Enumeration Date
2021-06-21
Last Update Date
2021-06-21
Business Address
KAMELIYA STOYANOVA GANCHEVA PTA
9401 OLD SAUK RD
MIDDLETON, WI 53562-4409
Phone number: 608-535-5056
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Mailing Address
KAMELIYA STOYANOVA GANCHEVA PTA
4620 FREY ST APT 111
MADISON, WI 53705-2903
Phone number: 608-844-4145
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