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1922536218
KIMBERLY MARIE KUPHAL
WAUSAU, WI
NPI
1922536218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WI 1142574)
Enumeration Date
2017-05-31
Last Update Date
2018-03-17
Business Address
KIMBERLY MARIE KUPHAL PA
425 PINE RIDGE BLVD STE 209
WAUSAU, WI 54401-4123
Phone number: 715-847-0400
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Mailing Address
KIMBERLY MARIE KUPHAL PA
425 PINE RIDGE BLVD STE 209
WAUSAU, WI 54401-4123
Phone number: 715-847-0400
Copy
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