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Individual

JAIME L DEESLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-8498
(920) 431-3291
Mailing address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-8498
(920) 431-3291

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9544-024
WI

Other

Enumeration date
10/14/2009
Last updated
10/14/2009
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