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1861583007
SHANNON L KOSS
APPLETON, WI
NPI
1861583007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 1604)
Enumeration Date
2006-09-27
Last Update Date
2022-01-18
Business Address
SHANNON L KOSS PAC
1531 S MADISON ST
APPLETON, WI 54915
Phone number: 920-996-3700
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Mailing Address
SHANNON L KOSS PAC
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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