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1720394463
KONG HER
MILWAUKEE, WI
NPI
1720394463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2740)
Enumeration Date
2010-08-19
Last Update Date
2021-11-23
Business Address
KONG HER PA-C
3305 S 20TH ST
MILWAUKEE, WI 53215-4940
Phone number: 414-645-1984
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Mailing Address
KONG HER PA-C
3305 S 20TH ST
MILWAUKEE, WI 53215-4940
Phone number: 414-645-1984
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