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Gregory Dejong, LAT
NPI 1295883478 · on the registry since 2007
Practice
- Address
- W1910 Sleepy Hollow Ct
Kaukauna, WI 54130 - Phone
- (920) 788-4760
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin