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Individual

MS. SARAH NICOLE LIDDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-2181
Mailing address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-2181

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2346-023
WI

Other

Enumeration date
10/07/2008
Last updated
01/14/2021
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