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1952411530
MONTE WILLKOM
MARSHFIELD, WI
NPI
1952411530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 2067)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- MONTE WILLKOM PT
1000 N OAK AVE
MARSHFIELD, WI 54449
Phone number: 715-389-4550
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Mailing Address
-- MONTE WILLKOM PT
1000 N OAK AVE
MARSHFIELD, WI 54449-5777
Phone number:
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