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1629364815
ALYSSA M RICCHIO
KENOSHA, WI
NPI
1629364815
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Former Name
ALYSSA M WILSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2769-023)
Enumeration Date
2011-06-26
Last Update Date
2024-08-05
Business Address
Mrs. ALYSSA M RICCHIO PA-C
10400 75TH ST STE 700
KENOSHA, WI 53142-7884
Phone number: 262-948-6618
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Mailing Address
Mrs. ALYSSA M RICCHIO PA-C
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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