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1093140816
ALYSA BLUM
WAUKESHA, WI
NPI
1093140816
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Former Name
ALYSA MCGOVERN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3150-23)
Enumeration Date
2013-09-11
Last Update Date
2023-03-07
Business Address
-- ALYSA BLUM PA-C
615 W MORELAND BLVD
WAUKESHA, WI 53188-2462
Phone number: 262-896-8420
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Mailing Address
-- ALYSA BLUM PA-C
615 W MORELAND BLVD
WAUKESHA, WI 53188-2462
Phone number: 262-896-8429
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