REBECCA L BLANK

LA CROSSE, WI
NPI1518961333
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: WI  1561)
Enumeration Date2005-06-09
Last Update Date2016-04-14
Business Address
REBECCA L BLANK PA
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
REBECCA L BLANK PA
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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