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1386944502
BETHANY ROSE YARD
WHITEHALL, WI
NPI
1386944502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WI 2660-23)
Enumeration Date
2010-10-22
Last Update Date
2010-10-22
Business Address
-- BETHANY ROSE YARD PA-C
18601 LINCOLN STREET
WHITEHALL, WI 54773
Phone number: 715-538-4361
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Mailing Address
-- BETHANY ROSE YARD PA-C
18601 LINCOLN STREET
WHITEHALL, WI 54773
Phone number: 715-538-4361
Copy
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