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1548659303
TIA DERFLINGER
RACINE, WI
NPI
1548659303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WI 3481-23)
Enumeration Date
2015-01-16
Last Update Date
2015-03-18
Business Address
-- TIA DERFLINGER PA-C
3803 SPRING STREET
RACINE, WI 53405
Phone number: 262-687-8322
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Mailing Address
-- TIA DERFLINGER PA-C
3803 SPRING STREET
RACINE, WI 53405
Phone number:
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