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1609152065
LIRA R MARTINEZ
APPLETON, WI
NPI
1609152065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2850)
Enumeration Date
2011-10-31
Last Update Date
2012-09-15
Business Address
Ms. LIRA R MARTINEZ PA-C
1501 S MADISON ST
APPLETON, WI 54915-1846
Phone number: 920-730-4443
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Mailing Address
Ms. LIRA R MARTINEZ PA-C
PO BOX 1047
NEENAH, WI 54957-1047
Phone number:
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