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Individual
RAQUEL SALAZAR
Active
Individual
RAQUEL SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2212-023
WI
363AS0400X
Surgical Physician Assistant
Primary
085003709
IL
363AS0400X
Surgical Physician Assistant
2212-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38180400
—
WI
Enumeration date
10/19/2007
Last updated
07/02/2015
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