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1306865654
MARY GRELL
MADISON, WI
NPI
1306865654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 00583)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
-- MARY GRELL PA
5249 E TERRACE DR
MADISON, WI 53718-8339
Phone number: 608-222-9777
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Mailing Address
-- MARY GRELL PA
1265 JOHN Q HAMMONS DR
MADISON, WI 53717-1941
Phone number: 608-251-4156
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