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1588949333
CARISSA ANN COOROUGH
GREEN BAY, WI
NPI
1588949333
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Former Name
CARISSA ANN COLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2872-23)
Enumeration Date
2011-10-12
Last Update Date
2018-07-11
Business Address
CARISSA ANN COOROUGH PA
720 S VAN BUREN ST STE 301
GREEN BAY, WI 54301-3534
Phone number: 920-433-9400
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Mailing Address
CARISSA ANN COOROUGH PA
720 S VAN BUREN ST STE 301
GREEN BAY, WI 54301-3534
Phone number: 920-433-9400
Copy
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