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1609843192
LISA L CERVANTES
MADISON, WI
NPI
1609843192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 990)
Enumeration Date
2006-03-02
Last Update Date
2023-10-02
Business Address
LISA L CERVANTES PAC
1004 GARFIELD ST
MADISON, WI 53711-2156
Phone number: 000-000-0000
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Mailing Address
LISA L CERVANTES PAC
1004 GARFIELD ST
MADISON, WI 53711-2156
Phone number:
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