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1285684662
ELAINE M SMITH
GREEN BAY, WI
NPI
1285684662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 1317)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
-- ELAINE M SMITH PA
301 BAY PARK SQ
GREEN BAY, WI 54304-5104
Phone number: 920-592-9475
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Mailing Address
-- ELAINE M SMITH PA
301 BAY PARK SQ
GREEN BAY, WI 54304-5104
Phone number: 920-592-9475
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