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1063493088
MICHELLE R NELSON
KENOSHA, WI
NPI
1063493088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 1662023)
Enumeration Date
2005-11-08
Last Update Date
2021-11-22
Business Address
MICHELLE R NELSON PA
6308 8TH AVE SUITE 505
KENOSHA, WI 53143-5031
Phone number: 262-656-3525
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Mailing Address
MICHELLE R NELSON PA
6308 8TH AVE SUITE 505
KENOSHA, WI 53143-5031
Phone number: 262-656-3525
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