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1407209828
KRYSTAL A MITICH
GREEN BAY, WI
NPI
1407209828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4248-23)
Enumeration Date
2016-07-20
Last Update Date
2023-02-10
Business Address
KRYSTAL A MITICH PA-C
1821 S WEBSTER AVE
GREEN BAY, WI 54301-2253
Phone number: 920-496-4700
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Mailing Address
KRYSTAL A MITICH PA-C
1821 S WEBSTER AVE
GREEN BAY, WI 54301-2253
Phone number: 920-496-4700
Copy
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