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1518961333
REBECCA L BLANK
LA CROSSE, WI
NPI
1518961333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WI 1561)
Enumeration Date
2005-06-09
Last Update Date
2016-04-14
Business Address
-- REBECCA L BLANK PA
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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Mailing Address
-- REBECCA L BLANK PA
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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