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1386952794
SHANE JERALD VLCEK
EAU CLAIRE, WI
NPI
1386952794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4812)
Enumeration Date
2010-09-20
Last Update Date
2022-08-08
Business Address
SHANE JERALD VLCEK P.A.
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Phone number: 715-838-5222
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Mailing Address
SHANE JERALD VLCEK P.A.
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 715-838-5222
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