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1093942047
TARESA B FASSBENDER
GREEN BAY, WI
NPI
1093942047
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Former Name
TARESA B VANASTEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2429-023)
Enumeration Date
2009-06-17
Last Update Date
2020-10-20
Business Address
TARESA B FASSBENDER PA
3263 EATON RD STE 1
GREEN BAY, WI 54311-6830
Phone number: 920-433-6000
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Mailing Address
TARESA B FASSBENDER PA
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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