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1174505606
BRADLEY J LASSA
LA CROSSE, WI
NPI
1174505606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI 073154)
Enumeration Date
2005-11-18
Last Update Date
2022-08-31
Business Address
BRADLEY J LASSA CRNA
700 WEST AVE S
LA CROSSE, WI 54601-4783
Phone number: 608-785-0940
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Mailing Address
BRADLEY J LASSA CRNA
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 715-838-5222
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