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1780969246
ETHAN A KAROL
GREEN BAY, WI
NPI
1780969246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2831)
Enumeration Date
2011-10-17
Last Update Date
2011-10-17
Business Address
-- ETHAN A KAROL PA
2845 GREENBRIER RD STE 240
GREEN BAY, WI 54311-6519
Phone number: 920-288-8280
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Mailing Address
-- ETHAN A KAROL PA
164 N BROADWAY
GREEN BAY, WI 54303-2728
Phone number: 920-405-5384
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