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Individual

CAROL PRESTON PATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O.

Contact information

Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 775-4210
(608) 775-6723
Mailing address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 775-4210
(608) 775-6723

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary

Other

Enumeration date
02/19/2009
Last updated
09/11/2014
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