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1215427877
LAURA HANNAH
GREEN BAY, WI
NPI
1215427877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4365)
Enumeration Date
2018-05-18
Last Update Date
2021-11-08
Business Address
LAURA HANNAH PA
3021 VOYAGER DR
GREEN BAY, WI 54311-8303
Phone number: 920-496-4700
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Mailing Address
LAURA HANNAH PA
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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