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1962697276
STACEY GROSNICK
NEW LONDON, WI
NPI
1962697276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 10049-024)
Enumeration Date
2007-09-10
Last Update Date
2007-09-10
Business Address
Ms. STACEY GROSNICK MPT
1405 MILL ST
NEW LONDON, WI 54961-2155
Phone number: 920-531-2000
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Mailing Address
Ms. STACEY GROSNICK MPT
PO BOX 2759
APPLETON, WI 54912-2759
Phone number: 920-830-5900
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