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1346542289
MARINA SODAGAR
KENOSHA, WI
NPI
1346542289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4855)
Enumeration Date
2010-11-29
Last Update Date
2024-01-30
Business Address
MARINA SODAGAR P.A.
3400 MARKET LN STE 300
KENOSHA, WI 53144-3430
Phone number: 262-551-4600
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Mailing Address
MARINA SODAGAR P.A.
3400 MARKET LN STE 300
KENOSHA, WI 53144-3430
Phone number: 262-551-4600
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