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Individual

MRS. MELISSA KAY RAMIREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
305 S CLARK ST, MAYVILLE, WI 53050-1488
(920) 387-1370
Mailing address
720 S PIONEER PKWY, FOND DU LAC, WI 54935-3835
(414) 378-3931

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9713-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40460500
WI
Enumeration date
05/07/2007
Last updated
07/08/2007
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