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1487005997
AMANDA MARIE SEBALD
MILWAUKEE, WI
NPI
1487005997
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Former Name
AMANDA MARIE ZACHOW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3768 - 23)
Enumeration Date
2016-06-27
Last Update Date
2021-11-24
Business Address
AMANDA MARIE SEBALD PA
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215-4330
Phone number: 414-649-5534
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Mailing Address
AMANDA MARIE SEBALD PA
422 S 89TH ST
MILWAUKEE, WI 53214-1326
Phone number: 414-698-4026
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