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1922046671
JACKIE LESAGE
MILWAUKEE, WI
NPI
1922046671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 5954-024)
Enumeration Date
2006-06-03
Last Update Date
2007-07-08
Business Address
Mrs. JACKIE LESAGE
2025 E NEWPORT AVE
MILWAUKEE, WI 53211-2906
Phone number: 414-963-8476
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Mailing Address
Mrs. JACKIE LESAGE
2567 N BARTLETT AVE
MILWAUKEE, WI 53211-3953
Phone number:
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