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1851316871
BRENDA K BALTHAZOR
WAUSAU, WI
NPI
1851316871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WI 186923)
Enumeration Date
2006-07-12
Last Update Date
2020-04-08
Business Address
BRENDA K BALTHAZOR PA
512 S 28TH AVE
WAUSAU, WI 54401-4147
Phone number: 715-847-2021
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Mailing Address
BRENDA K BALTHAZOR PA
512 S 28TH AVE
WAUSAU, WI 54401-4147
Phone number: 715-847-2021
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