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1194358648
BRIANNA LYNN BAETEN
GREEN BAY, WI
NPI
1194358648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 5338-023)
Enumeration Date
2020-02-12
Last Update Date
2021-11-19
Business Address
BRIANNA LYNN BAETEN PA
2253 W MASON ST
GREEN BAY, WI 54303-4706
Phone number: 920-327-7300
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Mailing Address
BRIANNA LYNN BAETEN PA
4840 N LATITUDE LN UNIT H
APPLETON, WI 54913-9431
Phone number: 920-676-2105
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