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1518076173
KELLY R POOLE
WAUSAU, WI
NPI
1518076173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 1097)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
-- KELLY R POOLE PAC
2727 PLAZA DRIVE
WAUSAU, WI 54401
Phone number: 715-847-3281
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Mailing Address
-- KELLY R POOLE PAC
1000 N OAK AVE
MARSHFIELD, WI 54449-5777
Phone number:
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