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1396416053
ANTONINO BOMMARITO
GREEN BAY, WI
NPI
1396416053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 5614)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2021-09-22
Last Update Date
2024-09-26
Business Address
ANTONINO BOMMARITO PA-C
1110 KEPLER DR
GREEN BAY, WI 54311-8306
Phone number: 920-288-5555
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Mailing Address
ANTONINO BOMMARITO PA-C
1035 KEPLER DR
GREEN BAY, WI 54311-8320
Phone number: 920-490-9046
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