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1124176383
WILLIAM HENRY PRICE
KENOSHA, WI
NPI
1124176383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 238.000016)
Enumeration Date
2007-01-06
Last Update Date
2014-10-22
Business Address
Mr. WILLIAM HENRY PRICE RSA
4819 5TH AVE UNIT 2
KENOSHA, WI 53140-2924
Phone number: 847-917-3666
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Mailing Address
Mr. WILLIAM HENRY PRICE RSA
4819 5TH AVE UNIT 2
KENOSHA, WI 53140-2924
Phone number: 847-917-3666
Copy
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