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1487260097
RAELYNN MAE FAIR
LA CROSSE, WI
NPI
1487260097
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Former Name
RAELYNN MAE SPELTZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WI 7419)
Enumeration Date
2020-09-18
Last Update Date
2023-10-26
Business Address
RAELYNN MAE FAIR PA-C
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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Mailing Address
RAELYNN MAE FAIR PA-C
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Copy
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