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Individual
ALLYSSA R TEKUS
Active
Individual
ALLYSSA R TEKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5125
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
02/20/2019
Last updated
08/12/2020
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