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1598005050
THAO LO
WAUSAU, WI
NPI
1598005050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3076-23)
Enumeration Date
2013-02-20
Last Update Date
2024-05-09
Business Address
THAO LO PA-C
2727 PLAZA DR
WAUSAU, WI 54401
Phone number: 715-847-3000
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Mailing Address
THAO LO PA-C
1000 N OAK AVE
MARSHFIELD, WI 54449-5703
Phone number: 715-387-5511
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