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1992364558
JASON MICHAEL DE JESUS
MILWAUKEE, WI
NPI
1992364558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 14627-24)
Enumeration Date
2019-06-07
Last Update Date
2019-06-07
Business Address
JASON MICHAEL DE JESUS PT, DPT
1000 N 92ND ST
MILWAUKEE, WI 53226-3533
Phone number: 414-259-1414
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Mailing Address
JASON MICHAEL DE JESUS PT, DPT
1083 QUINLAN DR UNIT A
PEWAUKEE, WI 53072-1871
Phone number:
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