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1063466373
LISA C DEZELAN
MILWAUKEE, WI
NPI
1063466373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 1458)
Enumeration Date
2006-05-20
Last Update Date
2012-12-13
Business Address
Ms. LISA C DEZELAN PA
9200 W WISCONSIN AVE DIVISION OF NEOPLASTIC DISEASES
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6800
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Mailing Address
Ms. LISA C DEZELAN PA
9200 W WISCONSIN AVE DIVISION OF NEOPLASTIC DISEASES
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6800
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