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1801557053
SHELBY KATHERINE BERNARD
LA CROSSE, WI
NPI
1801557053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WI 5776)
Enumeration Date
2022-01-09
Last Update Date
2022-05-04
Business Address
SHELBY KATHERINE BERNARD PA- C (anticipated)
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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Mailing Address
SHELBY KATHERINE BERNARD PA- C (anticipated)
1513 HYDE AVE
LA CROSSE, WI 54601
Phone number:
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