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1912943796
NICOLE C. BAILKE
GLENDALE, WI
NPI
1912943796
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Former Name
NICOLE C. MOROPOULOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: WI 9966-024)
Enumeration Date
2006-06-21
Last Update Date
2011-12-12
Business Address
Mrs. NICOLE C. BAILKE MPT
6700 N. PORT WASHINGTON RD. ST. FRANCIS CHILDREN'S CENTER
GLENDALE, WI 53217-3919
Phone number: 414-351-8850
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Mailing Address
Mrs. NICOLE C. BAILKE MPT
6700 N. PORT WASHINGTON RD. C/O ST. FRANCIS CHILDREN'S CENTER
GLENDALE, WI 53217-3919
Phone number: 414-351-8850
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