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1063407013
THOMAS RUFFALO
OCONOMOWOC, WI
NPI
1063407013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 657-023)
Enumeration Date
2005-09-15
Last Update Date
2007-07-08
Business Address
-- THOMAS RUFFALO PA
791 SUMMIT AVE
OCONOMOWOC, WI 53066-3844
Phone number: 262-569-9119
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Mailing Address
-- THOMAS RUFFALO PA
541 S SAWYER RD
OCONOMOWOC, WI 53066-9243
Phone number: 262-244-7693
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