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ANITA BOULOM

PHYSICIAN ASSISTANT · JANESVILLE, WI

Provider

NPI
1184213555
Credential
Primary specialty
PHYSICIAN ASSISTANT
Gender
Female
Medical school
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation year
2020

Practice

Address
1000 MINERAL POINT AVE, JANESVILLE, WI 535482940
Phone
6087566508
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
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