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1942838479
PAIGE M KOSTISHAK
KENOSHA, WI
NPI
1942838479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 5088)
Enumeration Date
2020-03-30
Last Update Date
2023-11-13
Business Address
PAIGE M KOSTISHAK PA-C, MPH
10400 75TH ST
KENOSHA, WI 53142-7884
Phone number: 262-948-5600
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Mailing Address
PAIGE M KOSTISHAK PA-C, MPH
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number:
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