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1104920107
LAURA S OLDENBURG
WAUWATOSA, WI
NPI
1104920107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 1747023)
Enumeration Date
2006-09-11
Last Update Date
2020-03-03
Business Address
LAURA S OLDENBURG PA
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222-4305
Phone number: 414-384-6700
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Mailing Address
LAURA S OLDENBURG PA
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222-4305
Phone number: 414-384-6700
Copy
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